Assessing Patient Safety Culture in the Hospital: A Pilot Study using a Modified Manchester Patient Safety Framework (MaPSaF)

Arum Astika Sari


Hospital as health care organization must develop a patient safety culture in an effort to improve the quality of care in order to prevent the occurrence of adverse event. There are no tools designed to assess and maturity level of safety culture in Indonesia’s hospitals, but a United Kingdom group have developed a tool--the Manchester Patient Safety Framework (MaPSaF). MaPSaF is one of tool that published by National Patient Safety Agency (NPSA) in 2006. The aim of this study was to modify and determine the dimensions and themes of the patient safety culture tool by MaPSaF. This study was a qualitative design with study literature approach. The result of this study was MaPSaF composed of 10 dimensions of patient safety culture with 24 aspects which contains with the statements in each theme. The dimensions are commitment to overall continuous improvement, priority given to safety, system errors and individual responsibility, recording incidents and best practice, evaluating incidents and best practice, learning and affecting change, communication about safety issues, personnel management and safety issues, staff education and training, and team working. The aspects are commitment to improvement, audit, policies, priority of patient safety, risk management system, implementation of patient safety, the cause of the incident, patient safety culture, reporting feeling and system, data analysis, the focus and result of investigation, incidents learning, the people in deciding of change, communication about patient safety between staff, patient or both, share the information, supporting the staff, training needs and purposes, team structure, the flow of information and sharing. The conclusion of this study was MaPSaF tool covered multiple dimensions of safety culture, and five levels of safety culture development. The tools can be adapted and used in Indonesia’s hospitals to stimulate learning about safety culture and to facilitate the hospital to identify the level of patient safety culture.


patient safety, patient safety culture, MaPSaF


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