Factors affecting the climate of hospital patient safety: a study of hospitals in Saudi Arabia.

PURPOSE: The purpose of this paper is to describe three organizational dimensions that influence hospital patient safety climate, also showing and discussing differences between organizational types. DESIGN/METHODOLOGY/APPROACH: Surveys were conducted in four types of Saudi Arabian hospitals. Resultant information was analyzed using factor analysis and multiple-regression.
FINDINGS: Management support, a proper reporting system and adequate resources were found to influence the hospital patient safety climate. RESEARCH LIMITATIONS/IMPLICATIONS: The cross-sectional hospital survey took place in a country that is radically redesigning its healthcare system. Major changes including hospital privatisation and healthcare insurance systems may have significant effects on hospital organizational climates. ORIGINALITY/VALUE: Improving a hospital's patient safety climate is critical for decreasing errors and providing optimal services. Although much patient safety research has been published, the organizational climate in non-Western countries has not been studied. The paper provides a unique Saudi Arabian hospital perspective and suggests that three dimensions influence the patient safety climate. Hospital managers are encouraged to improve these critical dimensions to positively develop their patient safety climate.