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:: Volume 35, Issue 3 (Fall 2025) ::
MEDICAL SCIENCES 2025, 35(3): 367-376 Back to browse issues page
Determining the relationship between systems thinking and patient safety culture in selected hospitals of Kermanshah University of Medical Sciences
Sahel Pashaei1 , Mahboobeh Safavi2 , Khalil Alimohammadzadeh3
1- Department of Health Services Management, School of Public Health, TeMs.C., Islamic Azad University, Tehran, Iran
2- Department of Health Services Management, School of Public Health, TeMs.C., Islamic Azad University, Tehran, Iran & Associate Professor, Department of Health Services Management, TeMs.C., Islamic Azad University, Health Economics Policy Research Center, TeMs.C.,Islamic Azad Univercity, Tehran , Iran , Msafavi@iautmu.ir
3- Professor, Department of Health Services Management,NT.C., Islamics Azad University, Health Economics Policy Research Center, TeMs.C., Islamic Azad Univercity, Tehran, Iran & Associate Member, Academy of Medical Sciences of the Islamic Republic of Iran
Abstract:   (16 Views)
Background: System thinking is defined as "the ability to recognize, understand and synthesize system elements instead of individual components. Patient safety is one of the main components of quality of health services. One of the necessary factors to improve patient safety is the existence of safety culture. Since the development of systemic thinking can be used as a solution to strengthen the safety behaviors of employees, this study was done to determine the relationship between clinical staff's understanding of systemic thinking and patient safety culture in selected hospitals of Kermanshah University of Medical Sciences.
Materials and methods: This study was applied and quantitative in terms of purpose and data type, descriptive and correlational in terms of data conversion into analytical information, and cross-sectional in terms of time. it was conducted among clinical staff (doctors and nurses) of 3 teaching hospitals of Kermanshah City in 2024. Available sampling method was used to select the sample. Systemic thinking and safety culture questionnaires were used to collect data.
Results: In this study, the total score of understanding systems thinking was 99.71%. The percentage of positive scores of patient safety culture was 97.28. Therefore, at the 95% probability level, there was no significant relationship between systems thinking and patient safety culture (p=0.09).
Conclusion: The results of study showed that clinical staff's understanding of systems thinking in selected hospitals was high, patient safety culture was at weak level, and a weak and inconsistent relationship was found between systems thinking and patient safety culture, but it was'nt significant.
 
Keywords: Systemic thinking, Patient safety culture, Relationship
Full-Text [PDF 1043 kb]   (9 Downloads)    
Semi-pilot: Survey/Cross Sectional/Descriptive | Subject: Health Information Management
Received: 2024/09/7 | Accepted: 2024/12/3 | Published: 2025/09/1
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Pashaei S, Safavi M, Alimohammadzadeh K. Determining the relationship between systems thinking and patient safety culture in selected hospitals of Kermanshah University of Medical Sciences. MEDICAL SCIENCES 2025; 35 (3) :367-376
URL: http://tmuj.iautmu.ac.ir/article-1-2288-en.html


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Volume 35, Issue 3 (Fall 2025) Back to browse issues page
فصلنامه علوم پزشکی دانشگاه آزاد اسلامی واحد پزشکی تهران Medical Science Journal of Islamic Azad Univesity - Tehran Medical Branch
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