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Identifying organizational learning dimensions that promote patient safety culture: A study of hospital pharmacies in Kuwait

The need for a positive safety culture in healthcare is essential. It not only
advances the prevention and reduction of possible medical errors and threats to
patient safety, but also enhances the overall quality of healthcare services
provided, especially in respect of medication safety. While the evolution and
surge in hospital pharmacies has bolstered treatment possibilities, the risk of
harm to patients has also increased as errors in the provision of medication by
pharmacists create a threat to patient safety. The increasing need to deploy a
protective measure to enhance patient safety culture in the healthcare is
imperative suggesting the necessity for the inclusion of new knowledge through
the process of organizational learning.
Safety culture and organizational learning are complex constructs which may be
measured, to some extent, by validated instruments. The current study seeks to
assess the reliability and validity of a translated Arabic version of the learning
organization survey short-form (LOS-27), and the pharmacy survey on patient
safety culture (PSOPSC) through the evaluation of pharmacy staff’s knowledge
about organizational learning and patient safety culture in public and private
hospital pharmacies of Kuwait. The aim is to explore the relationship between
organizational learning and patient safety culture in hospital pharmacy settings
through the LOS-27 and PSPOSC instruments. In addition, the relationship
between the different dimensions of organizational learning and pharmacy patient
safety culture is explored.
The results highlighted the adequacy of the Arabic translation of the LOS-27 and
PSOPSC questionnaires as they depicted the reliability and validity consistent
with the original surveys results. It was also found that in the context of Kuwaiti
pharmacies, organizational learning was positively related to performance of the
staff in creating a positive patient safety culture. Several dimensions of the
organizational learning showed association with various elements of patient
safety culture in pharmacy settings, specifically: training, management that
reinforces learning, and a supportive learning environment had the strongest
effects on the pharmacy patient safety culture dimensions.
The contribution of this thesis is in three areas. First, it is the first research that
links organizational learning with patient safety culture in a hospital pharmacy
setting (theoretical contribution). Second, the research is useful for research
scholars as it combines the two questionnaires, LOS-27 and PSOPSC, on the
same participants using a single form to explore the relationship between
organizational learning and patient safety culture in a hospital pharmacy setting
and their dimensions (method contribution). Third, this research contributed to
the currently limited literature that examines patient safety culture and
organizational learning by considering the context of Kuwait (Contextual
Contribution).

Identiferoai:union.ndltd.org:BRADFORD/oai:bradscholars.brad.ac.uk:10454/17700
Date January 2019
CreatorsAbdallah, Wael
ContributorsJohnson, Craig L., Mohammed, Mohammed A.
PublisherUniversity of Bradford, Faculty of Management, Law and Social Sciences
Source SetsBradford Scholars
LanguageEnglish
Detected LanguageEnglish
TypeThesis, doctoral, PhD
Rights<a rel="license" href="http://creativecommons.org/licenses/by-nc-nd/3.0/"><img alt="Creative Commons License" style="border-width:0" src="http://i.creativecommons.org/l/by-nc-nd/3.0/88x31.png" /></a><br />The University of Bradford theses are licenced under a <a rel="license" href="http://creativecommons.org/licenses/by-nc-nd/3.0/">Creative Commons Licence</a>.

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