A comparative analysis on safety culture in domestic and foreign health care facilities and enterprises of other activities (message 2)





healthcare, safety culture, patient safety, healthcare institutions


The characteristics of the safety culture of patients and personnel in health care facilities in Ukraine as a whole and separately among doctors-pathologists are analyzed with correlation of the data obtained with similar indicators of the culture of patient safety in medical facilities of other countries and comparison with the safety culture of workers of domestic nuclear power plants. It was confirmed that the weaknesses of the safety culture of the personnel of domestic hospitals is characterized by "Reaction to mistakes", which indicates the prevalence of the culture of blame (unfair culture) in domestic hospitals and, as a result, the absence of real data on medical errors and other incidents of patient safety. The high percentage of positive responses to the safety culture characteristic “Response to mistakes” among the workers of Ukrainian nuclear power plants is an example of the possibility of forming an appropriate safety culture in a separate domestic industry, and the high percentage of positive answers by this characteristic in domestic pathologists is a significant potential for the development of a safe hospital environment for patients. in Ukraine.


Antomonov MYu. [Mathematical processing and analysis of medical and biological data. 2nd ed.]. Кyiv: MYCz "Medynform"; 2018. р. 579. Russian.

[Global action to ensure patient safety. Report by the Director General. WHO. 148th session. 2021]. [Internet]. Russian. Available from: https://apps.who.int/gb/ebwha/pdf_files/EB148/B148_6-ru.pdf.

Goloschapov-Aksenov RS. [Scientific and methodological substantiation of the modern organization of X-ray endovascular care at cardiovascular diseases at the regional level: dis. ... doctor of medical sciences]. Federal State Autonomous Educational Institution of Higher Education "Peoples' Friendship University of Russia" of the Ministry of Science and Higher Education of the Russian Federation. Moskva. 2019. p. 291. Russian.

Horbulin VP, et al. [Safety culture at nuclear facilities in Ukraine. Scientific and methodological ma¬nual]. Кyiv: DP «NVTs» «Еvroatlantykinform»; 2007. р. 12. Ukrainian.

[On approval and implementation of medical and technological documents for standardization of medical care for ischemic stroke: Order of the Ministry of Health of Ukraine dated 03.08.2012 No. 602]. Ukrainian. Available from: https://ips.ligazakon.net/document/MOZ16323

[On approval and implementation of medical and technological documents for standardization of medical care in acute coronary syndrome with elevation of the ST segment: Order of the Ministry of Health of Ukraine from 02.07.2014 No. 455]. Ukrainian. Available from: https://ips.ligazakon.net/document/MOZ23215

Trіfonova E, et al. [A culture of a safe hospital environment]. Mezhdunarodnyi studencheskiy nauchnyi vestnik. 2015;5(1):9. Russian.

Hospital Survey on Patient Safety Culture: 2018 User Database Report. [Internet]. Agency for Healthcare Research and Quality U.S. AHRQ Publication No. 18-0025-EF; 2018. Available from: ¬https://www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/2018hospitalsopsreport.pdf

International Profiles Of Health Care Systems 2014. E. The Commonwealth Fund; 2015. p. 8.

Kaiser Family Foundation analysis of data from the Centers for Medicare & Medicaid Services, Hospital Compare datasets and Medicare Hospital Quality Chartbook. [Internet]; 2018. Available from: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HospitalQualityInits/OutcomeMeasures

NHS Patient Safety Strategy. Safer culture, safer systems, safer patients. NHS. [Internet]; 2019 July. Available from: https://www.england.nhs.uk/wp-content/uploads/2020/08/190708_Patient_Safety_Strategy_for_website_v4.pdf__

NHS Patient Safety Strategy: 2021 update. [Internet]. Published February 2021. Available from: https://www.england.nhs.uk/wp-content/uploads/2021/02/B0225-NHS-Patient-Safety-Strategy-update-Feb-2021-Final-v2.pdf

Nordin A, Wilde-Larsson В, Nordström G, Theander K. Swedish Hospital Survey on Patient Safety Culture - Psychometric properties and health care staff’s perception. Open Journal of Nursing. 2013;3:41-50. doi: https://doi.org/10.4236/ojn.2013.38A006

Patient Safety Indicators. AHRQ Pub. No. 15-M053-4-EF. [Internet]. 2015. Available from: https://www.qualityindicators.ahrq.gov/Downloads/Modules/PSI/V50/PSI_Brochure.pdf

Sorra JS, Nieva VF. Hospital Survey on Patient Safety Culture. [Internet]. AHRQ Publication No. 04-0041. 2004 September. Available from: https://proqualis.net/sites/proqualis.net/files/User%20guide%20HSOPSC.pdf

State of Health in the EU Sweden Country Health Profile 2017. OECD. European Observatory on Health Systems and Policies. [Internet]; 2017. p. 20. Available from: https://www.euro.who.int/__data/assets/pdf_file/0012/355998/Health-Profile-Sweden-Eng.pdf?ua



How to Cite

Yavorovsky A, Rygan M, Naumenko A, Skaletsky Y, Gichka S, Ivanko A, Varyvonchyk D, Shkurba A, Bugro V, Brukhno R, Zinchenko T, Gorval A, Kirichuk I. A comparative analysis on safety culture in domestic and foreign health care facilities and enterprises of other activities (message 2). Med. perspekt. [Internet]. 2021Dec.20 [cited 2022Aug.12];26(4):153-60. Available from: http://journals.uran.ua/index.php/2307-0404/article/view/248210




Most read articles by the same author(s)