{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T12:29:04Z","timestamp":1786969744333,"version":"build-2736575974"},"reference-count":19,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T00:00:00Z","timestamp":1786924800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int. J. Environ. Res. Public Health","IJERPH"],"abstract":"<jats:p>Objective: Patient safety culture (PSC) is a critical determinant of healthcare quality. This study aimed to assess the current status of PSC among healthcare workers at Kien An Hospital, Hai Phong, Vietnam, and identify associated factors. Methods: A cross-sectional survey was conducted using the 12-dimension hospital survey on patient safety culture (HSOPSC). A total of 324 healthcare professionals (physicians, nurses, and allied staff) participated. Data were analyzed using descriptive statistics and multivariable logistic regression. Results: The positive response rate (PRR) across the 12 dimensions of patient safety culture (PSC) varied widely. The highest positive perceptions were observed in \u201cTeamwork within units\u201d (98.5%) and \u201cTeamwork across units\u201d (98.1%). Conversely, severe vulnerabilities in psychological safety were identified, with \u201cCommunication Openness\u201d recording the absolute lowest PRR at 25.9%, closely followed by \u201cNon-punitive response to error\u201d at 29.0%. Comparative analysis between professional strata revealed broad alignment across 11 dimensions, with the sole significant divergence occurring in \u201cFeedback and communication about error\u201d, where physicians reported a significantly higher PRR than nurses &amp; allied staff (85.8% vs. 75.2%; p = 0.04). In the multivariable logistic regression model, age emerged as the single independent predictor of overall positive PSC; compared to early-career staff (&lt;30 years), healthcare workers aged 30\u201340 years (AOR = 4.17, p = 0.02) and 40\u201350 years (AOR = 5.03, p = 0.02) had significantly higher odds of favorable safety perceptions. Conclusions: Healthcare workers at the study hospital exhibit exceptionally strong collaborative teamwork, yet low communication openness and the fear of a punitive environment remain critical systemic barriers to safety. Because safety culture challenges are macro-institutional and disproportionately impact junior personnel, interventions should shift away from role-specific policies. Instead, hospital leadership must prioritize establishing non-punitive reporting mechanisms, enhancing open dialogue, and designing targeted safety culture onboarding initiatives tailored specifically to the needs of early-career healthcare workers to foster continuous organizational learning.<\/jats:p>","DOI":"10.3390\/ijerph23081064","type":"journal-article","created":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T12:01:26Z","timestamp":1786968086000},"page":"1064","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Patient Safety Culture: Current Status and Associated Factors Among Healthcare Workers at Kien An Hospital\u2014Hai Phong, Vietnam\u2014A Cross-Sectional Study"],"prefix":"10.3390","volume":"23","author":[{"given":"Nguyen Ba","family":"Phuoc","sequence":"first","affiliation":[{"name":"Kien An Hospital, Hai Phong 180000, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vu Tuan","family":"Anh","sequence":"additional","affiliation":[{"name":"Kien An Hospital, Hai Phong 180000, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nguyen Thi","family":"Ly","sequence":"additional","affiliation":[{"name":"Kien An Hospital, Hai Phong 180000, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nguyen Duc","family":"Son","sequence":"additional","affiliation":[{"name":"Kien An Hospital, Hai Phong 180000, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nguyen Thi","family":"Chin","sequence":"additional","affiliation":[{"name":"Kien An Hospital, Hai Phong 180000, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lam Thi","family":"Hanh","sequence":"additional","affiliation":[{"name":"Kien An Hospital, Hai Phong 180000, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trinh Thi","family":"My","sequence":"additional","affiliation":[{"name":"Kien An Hospital, Hai Phong 180000, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nguyen Thi","family":"Nhan","sequence":"additional","affiliation":[{"name":"Kien An Hospital, Hai Phong 180000, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Le Van","family":"Mang","sequence":"additional","affiliation":[{"name":"Medical Affairs Division, Department of Health, Hai Phong 180000, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luu Xuan","family":"Quy","sequence":"additional","affiliation":[{"name":"Health Management Training Institute, Hanoi University of Public Health, Hanoi 11910, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8517-4234","authenticated-orcid":false,"given":"Ha Thi Minh","family":"Nguyet","sequence":"additional","affiliation":[{"name":"Health Management Training Institute, Hanoi University of Public Health, Hanoi 11910, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nguyen Duc","family":"Thanh","sequence":"additional","affiliation":[{"name":"Health Management Training Institute, Hanoi University of Public Health, Hanoi 11910, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,8,17]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Fekadu, G., Muir, R., Tobiano, G., Bime, A.E., Ireland, M.J., and Marshall, A.P. 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Policy"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/23\/8\/1064\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T12:13:29Z","timestamp":1786968809000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/23\/8\/1064"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,17]]},"references-count":19,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2026,8]]}},"alternative-id":["ijerph23081064"],"URL":"https:\/\/doi.org\/10.3390\/ijerph23081064","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,17]]}}}