Volume 28, Issue 153, November 2024

Unveiling the impact of organizational culture on malpractice risks: An in-depth qualitative analysis of healthcare providers' insights

Hebatallah Aboueldahab¹, Majdi M Saadeh RN², Alzobaidi Mohammad Jaser RN³, Amal Abu seif RN⁴, Miya Yustianingsih⁵, Ziad Altiti RN⁶, Ahmed M El-Malky^7,8

¹Morbidity and Mortality Review Unit, King Saud University Medical City Riyadh, Saudi Arabia
²Morbidity and Mortality Review Unit, King Saud University Medical City Riyadh, Saudi Arabia
³Morbidity and Mortality Review Unit, King Saud University Medical City Riyadh, Saudi Arabia
⁴Service Manager, Dental Hospital, King Saud University Medical City Riyadh, Saudi Arabia
⁵Student, Nursing College, Universitas qamarul huda badaruddin, Lombok, Indonesia
⁶Morbidity and Mortality Review Unit, King Saud University Medical City Riyadh, Saudi Arabia
⁷PhD(c), MPH, CPHQ, DTQM, MB.Bch. Public Health and Community Medicine Department, Theodor Bilharz Research Institute, Academy of Scientific Research, Cairo, Egypt
⁸Morbidity and Mortality Review Unit, Deputy Supervisor King Saud University Medical City, Riyadh, Saudi Arabia

ABSTRACT

Background: Organizational culture and malpractice risk perceptions are critical elements in Neonatal Intensive Care Unit (NICU) settings that affect patient care, healthcare practitioner well-being, and the general work environment. The study is to evaluate the aspects of Organizational culture in NICUs, investigate healthcare personnel' opinions of malpractice risk, and investigate the interactions among these elements. Methods: The association between Organizational culture and malpractice risk perceptions among NICU healthcare personnel was investigated qualistically. From four tertiary university hospitals, 750 individuals were chosen via purposeful sampling. Interviews were used to gather data; theme analysis was done to identify salient features. Extended participation, member verification, peer debriefing, and ethical standard adherence all helped to build credibility. Results: The study covered a number of topics, including patient care dedication, teamwork, and cooperation. Positive elements were consistently found to include a supportive work atmosphere, multidisciplinary communication, and mutual respect. Still, there were some clear differences amongst institutions, especially with regard to risk management. Some providers said that although inexperienced practitioners felt excluded, competitive attitudes and mistrust of institutional risk management prevailed. Particularly with respect to mistake disclosure, issues about institutional carelessness and obstacles to honest communication were very common. Furthermore, it investigated the effect of burnout on patient safety, exposing staff members to great psychological suffering. Conclusion: The study came to the conclusion that reducing malpractice risks and guaranteeing highquality treatment in NICU environments depends much on a strong Organizational culture marked by good communication, cooperation, and a dedication to learning.

Keywords: Organizational culture, malpractice risk perceptions, healthcare providers, qualitative study, thematic analysis, patient care, teamwork, interdisciplinary communication, professional roles, institutional context, Organizational challenges, patient safety, intervention strategies, policy development

Medical Science, 2024, 28, e138ms3391

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DOI: https://doi.org/10.54905/disssi.v28i153.e138ms3391

Published: 21 November 2024