title: Assessing patient safety culture in Tunisian operating rooms: A multicenter study.
abstract: OBJECTIVE
  To assess the patient safety culture (PSC) in operating rooms (ORs) and to determine influencing factors.
  
  
  METHODS
  A cross-sectional descriptive multicenter study which was conducted over a period of 7 months (October 2014-April 2015) using the French validated version of the Hospital Survey On Patient Safety Culture questionnaire.
  
  
  METHODS
  Of the note, 15 ORs of public and private healthcare institutions.
  
  
  METHODS
  In total, there were 368 participants including surgeons, anesthesiologists, surgical and anesthesia technicians, nurses and caregivers, divided into 316 professionals exercising in public sector and 52 working in private one.
  
  
  METHODS
  A self-administrated questionnaire investigating 10 dimensions of PSC (including 45 items), two items examining the staff perception of patient safety quality and reporting events, and five items regarding demographic characteristics of respondents.
  
  
  RESULTS
  The participation rate in the study was 70.8%. All 10 dimensions were to be improved. The overall perception of patient safety had a score of 34.9%. The dimension that had the lowest score (20.5%) was the non-punitive response to error, and the one that had the highest score (41.67%) was teamwork in the ORs. Three dimensions were developed in private sector, and none in public hospitals.
  
  
  CONCLUSIONS
  This study showed that the level of the PSC needs to be improved not only in public hospitals but also in private ones. The obtained results highlight the importance of implementing quality management systems and developing PSC.
authors.affiliation: Faculty of Medicine Ibn El Jazzar, Department of Community Health-Laboratory of research LR12ES03, Qualité des soins et management des services de santé maternelle, Avenue Mohamed Karoui 4000, Sousse,Tunisia.
authors.forename: Manel
authors.initials: M
authors.lastname: Mallouli
authors.affiliation: Health Sciences Research, Higher School of Health Sciences and Techniques of Sousse, University of Sousse, Sousse, Tunisia.
authors.forename: Mohamed Ayoub
authors.initials: MA
authors.lastname: Tlili
authors.affiliation: Health Sciences Research, Higher School of Health Sciences and Techniques of Sousse, University of Sousse, Sousse, Tunisia.
authors.forename: Wiem
authors.initials: W
authors.lastname: Aouicha
authors.affiliation: Department of prevention and Safety Care, University Hospital Sahloul, Sousse, Tunisia.
authors.forename: Mohamed
authors.initials: M
authors.lastname: Ben Rejeb
authors.affiliation: Faculty of Medicine Ibn El Jazzar, Department of Community Health-Laboratory of research LR12ES03, Qualité des soins et management des services de santé maternelle, Avenue Mohamed Karoui 4000, Sousse,Tunisia.
authors.forename: Chekib
authors.initials: C
authors.lastname: Zedini
authors.affiliation: Higher School of Health Sciences and Techniques of Sousse, University of Sousse, Sousse, Tunisia.
authors.forename: Amrani
authors.initials: A
authors.lastname: Salwa
authors.affiliation: Faculty of Medicine Ibn El Jazzar, Department of Community Health-Laboratory of research LR12ES03, Qualité des soins et management des services de santé maternelle, Avenue Mohamed Karoui 4000, Sousse,Tunisia.
authors.forename: Ali
authors.initials: A
authors.lastname: Mtiraoui
authors.affiliation: Health Sciences Research, Higher School of Health Sciences and Techniques of Sousse, University of Sousse, Sousse, Tunisia.
authors.forename: Mohamed
authors.initials: M
authors.lastname: Ben Dhiab
authors.affiliation: Faculty of Medicine Ibn El Jazzar, Department of Community Health-Laboratory of research LR12ES03, Qualité des soins et management des services de santé maternelle, Avenue Mohamed Karoui 4000, Sousse,Tunisia.
authors.forename: Thouraya
authors.initials: T
authors.lastname: Ajmi
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D005260:Female; D016304:Hospitals, Private / Q000592:standards; D006779:Hospitals, Public / Q000592:standards; D006801:Humans; D008297:Male; D009873:Operating Rooms / Q000458:organization & administration* / Q000592:standards; D015279:Organizational Culture; D061214:Patient Safety / Q000592:standards*; D011787:Quality of Health Care / Q000592:standards; D017751:Safety Management / Q000458:organization & administration; D011795:Surveys and Questionnaires; D014416:Tunisia
keywords: HSOPSC; Patient safety culture; operating rooms; patient safety; quality culture