Background A positive Patient Safety Culture (PSC) is considered as the main barrier to adverse events (AEs) that affect healthcare quality and safety. Thus, the assessment of PSC became a priority for healthcare providers in order to identify problematic areas that need improvement actions. Method A cross sectional multi-center study was conducted to evaluate quantitatively PSC in 10 Algerian healthcare establishments (HEs) within the framework of the Algerian Observatory of Safety Culture (ASCO Project). The French version of the HSOPSC was used as a measurement tool where it was administered to participants (N = 1370) using convenience sampling. Results A total of 1118 respondents, all professional categories included, participated in this study. The response rate was estimated at 69% of the sample size (N = 1370). After statistical processing, 950 questionnaires were retained. Internal consistency was above 0.7 for all dimensions. Problematic PSC dimensions were identified, mainly ‘Non-punitive response to error’, ‘Staffing’ and ‘Communication openness’. Conclusions This article sheds light on the critical situation of PSC in the Algerian national health system. Quantitative findings were introduced in the framework of the Algerian Safety Culture Observatory project that will serve as a baseline for different stakeholders to guide long-term promotion actions.

Purpose The assessment of patient safety culture (PSC) is a major priority for healthcare providers. It is often realized using quantitative approaches (questionnaires) separately from qualitative ones (patient safety culture maturity model (PSCMM)). These approaches suffer from certain major limits. Therefore, the aim of the present study is to overcome these limits and to propose a novel approach to PSC assessment. Design/methodology/approach The proposed approach consists of evaluating PSC in a set of healthcare establishments (HEs) using the HSOPSC questionnaire. After that, principal component analysis (PCA) and K-means algorithm were applied on PSC dimensional scores in order to aggregate them into macro dimensions. The latter were used to overcome the limits of PSC dimensional assessment and to propose a quantitative PSCMM. Findings PSC dimensions are grouped into three macro dimensions. Their capitalization permits their association with safety actors related to PSC promotion. Consequently, a quantitative PSC maturity matrix was proposed. Problematic PSC dimensions for the studied HEs are “Non-punitive response to error”, “Staffing”, “Communication openness”. Their PSC maturity level was found underdeveloped due to a managerial style that favors a “blame culture”. Originality/value A combined quali-quantitative assessment framework for PSC was proposed in the present study as recommended by a number of researchers but, to the best of our knowledge, few or no studies were devoted to it. The results can be projected for improvement and accreditation purposes, where different PSC stakeholders can be implicated as suggested by international standards.

The assessment of Patient Safety Culture (PSC) is often conducted using a quantitative approach based on questionnaires or a qualitative one focused on the deployment of Patient Safety Culture Maturity Models (PSCMM). These two approaches suffer from a number of limitations and their resolution is only possible by exploiting the possible complementarity that exists between them. Indeed, to overcome their inherent limits, it is imperative to merge the two PSC approaches in a single approach called quali-quantitative evaluation of PSC. This article fits into this context and aims to materialise the merger of PSC approaches through their co-deployment. This will make it possible to capitalise the scores of the HSOPSC dimensions in terms of PSC maturity levels.

Purpose

The assessment of patient safety culture (PSC) is a major priority for healthcare providers. It is often realized using quantitative approaches (questionnaires) separately from qualitative ones (patient safety culture maturity model (PSCMM)). These approaches suffer from certain major limits. Therefore, the aim of the present study is to overcome these limits and to propose a novel approach to PSC assessment.

Design/methodology/approach

The proposed approach consists of evaluating PSC in a set of healthcare establishments (HEs) using the HSOPSC questionnaire. After that, principal component analysis (PCA) and K-means algorithm were applied on PSC dimensional scores in order to aggregate them into macro dimensions. The latter were used to overcome the limits of PSC dimensional assessment and to propose a quantitative PSCMM.

Findings

PSC dimensions are grouped into three macro dimensions. Their capitalization permits their association with safety actors related to PSC promotion. Consequently, a quantitative PSC maturity matrix was proposed. Problematic PSC dimensions for the studied HEs are “Non-punitive response to error”, “Staffing”, “Communication openness”. Their PSC maturity level was found underdeveloped due to a managerial style that favors a “blame culture”.

Originality/value

A combined quali-quantitative assessment framework for PSC was proposed in the present study as recommended by a number of researchers but, to the best of our knowledge, few or no studies were devoted to it. The results can be projected for improvement and accreditation purposes, where different PSC stakeholders can be implicated as suggested by international standards.