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PSC is defined as the product of individual and group values, attitudes, perceptions, competencies, and patterns of behaviour, which determine the commitment to and the style and proficiency of an organization's health and safety management [].Although several measurement tools were developed, the Hospital Survey on PSC (HSOPS), which was developed by the U. Agency for Healthcare Research and Quality (AHRQ), is used widely all over the world [].

The questions related to the PSC outcome measures included both a Patient Safety Grade that asked respondents to provide an overall grade on patient safety in their respective departments (1: failing to 5: excellent) and a Number of Events that asked respondents to provide the number of events they reported during the previous 12 months (1: no event to 5: 21 events or more).The aim of this study is to investigate and compare the PSC characteristics of Japan, Taiwan, and the U. For comparing PSC, we conducted a questionnaire-based, anonymous, and self-administered cross-sectional survey to healthcare workers in Japan and Taiwan.The HSOPS questionnaire was used to measure PSC in each country.However, the subjects originated from teaching hospitals, and the sample size appeared insufficient to understand the characteristics of Taiwanese healthcare workers.For international comparisons of PSC, diverging values should be considered because PSC could be affected by race, religion, healthcare system, and other similar variables.The PSC characteristics from countries with different values have not been explored sufficiently.We hypothesized that PSC characteristics were similar among East Asian countries, whose cultures were closely related, and different from those of western countries, whose cultures include heterogeneous customs such as interpersonal relationships.Statistical analyses were conducted using SPSS 19.0 (SPSS Inc.; Chicago, IL, USA).According to the Ethical Guidelines for Epidemiological Research, which was drawn up by the Japanese government, the approval of the ethics committee was not required because it was an anonymous and self-administered survey with no intervention or mental anguish [.Although most pairs exhibited significant differences, only some sub-dimensions had pairs with significant differences according to Cohen’s d. S., ‘Staffing’ received the highest rating among all 3 countries..In Japan, ‘Organizational Learning/Continuous Improvement’ received the lowest rating among all 3 countries, and ‘Hospital Management Support for Patient Safety’ received a rating lower than that in the U. In Taiwan, ‘Frequency of Events Reported’ received the lowest rating among all 3 countries, and ‘Communication Openness’ received a lower rating than that in the U. In Taiwan, the scores for most items under sub-dimension ‘Frequency of Events Reported’ were significantly lower than the scores in other countries.

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