IJIMT 2016 Vol.7(5): 213-218 ISSN: 2010-0248
doi: 10.18178/ijimt.2016.7.5.675

A Case Study of Using Importance-Agreement Analysis to Analyze Patient Safety Culture Based on the Safety Attitudes Questionnaire in Taiwan

Yii-Ching Lee, Chih-Hsuan Huang, and Hsin-Hung Wu
Abstract— This study uses the Chinese version of safety attitudes questionnaire (SAQ) as a basis to assess the patient safety culture from the entire staff’s perceptions for a regional teaching hospital in Taichung, Taiwan. Importance-agreement analysis is applied to separate twenty three items in SAQ required by all of the staff into four categories. The results show that eight items are found to be the major strengths, and four items are the minor strengths. On the contrary, eight items belong to the minor weaknesses. Most importantly, three items are classified into major weaknesses. In order to relentlessly improve the patient safety culture, the hospital management needs to pay much attention to the negative items (major weaknesses and then minor weaknesses). The major focus is to take immediate actions to improve the major weaknesses, while to maintain the major strengths to gain competitiveness in order to provide better medical services to its patients.

Index Terms— Safety attitudes questionnaire, importance-performance analysis, importance-agreement analysis, patient safety culture.

Y. C. Lee is with Department of Medical Quality Management, Cheng Ching General Hospital-Chung Kang Branch, Taichung City, Taiwan 407. He is also with the Department of Health Business Administration, Hung Kuang University, Taichung City, Taiwan 433, and the School of Health Policy and Management, Chung Shan Medical University, Taichung City, Taiwan 402 (e-mail: yiiching.lee@gmail.com).
C. H. Huang is with School of Business Administration, Hubei University of Economics, Wuhan City, Hubei Province, China 43025 (e-mail: tititacer@163.com).
H. H. Wu is with Department of Business Administration, National Changhua University of Education, Changhua, Tiwan 500 (e-mail: hhwu@cc.ncue.edu.tw).

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Cite: Yii-Ching Lee, Chih-Hsuan Huang, and Hsin-Hung Wu, " A Case Study of Using Importance-Agreement Analysis to Analyze Patient Safety Culture Based on the Safety Attitudes Questionnaire in Taiwan," International Journal of Innovation, Management and Technology vol. 7, no. 5, pp. 213-218, 2016.

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