{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T14:50:55Z","timestamp":1791471055550,"version":"4.3.4"},"reference-count":36,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>To assess patient safety culture using the Hospital Survey on Patient Safety Culture (HSOPSC) and to examine associations between occupational characteristics, perceived incident-reporting barriers, and overall safety culture scores among healthcare professionals in the United Arab Emirates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>MATERIALS AND METHODS:<\/jats:title>\n                    <jats:p>\n                      A cross-sectional survey was conducted between January and March 2023 among 629 healthcare professionals in the United Arab Emirates, including physicians, nurses, and allied health professionals, using convenience sampling. Participants completed a sociodemographic and work characteristics questionnaire alongside the HSOPSC. Item-level positive response rates were calculated, and overall HSOPSC mean scores were compared across occupational characteristics and reporting-barrier frequency categories using\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      -tests and analysis of variance (two-sided;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      Reporting of near-miss events was limited (40.1%), despite high levels of perceived interpersonal respect (84.2%). Respondents reporting barriers seldom demonstrated significantly higher patient safety culture scores across the majority of barrier domains (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>Targeted system-level interventions, including simplification of reporting processes, strengthening nonpunitive culture, and improving feedback mechanisms, are recommended to enhance reporting and patient safety outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jehp.jehp_157_26","type":"journal-article","created":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T14:02:27Z","timestamp":1788184947000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Patient safety culture and reporting barriers among healthcare professionals in the United Arab Emirates: A cross-sectional study"],"prefix":"10.4103","volume":"15","author":[{"given":"Aaesha M.","family":"Alblooshi","sequence":"first","affiliation":[{"name":"Department of Family Medicine, Health and Wellness Research Group, College of Medicine and Health Sciences, United Arab Emirates University, Al-Ain, United Arab Emirates"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saoud Al","family":"Tamimi","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Health and Wellness Research Group, College of Medicine and Health Sciences, United Arab Emirates University, Al-Ain, United Arab Emirates"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatima","family":"AlSaedi","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Health and Wellness Research Group, College of Medicine and Health Sciences, United Arab Emirates University, Al-Ain, United Arab Emirates"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahra Saif Obaid","family":"Al Farsi","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Health and Wellness Research Group, College of Medicine and Health Sciences, United Arab Emirates University, Al-Ain, United Arab Emirates"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mouza Ahmed Abdulla","family":"Alzaabi","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Health and Wellness Research Group, College of Medicine and Health Sciences, United Arab Emirates University, Al-Ain, United Arab Emirates"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lamya","family":"AlBlooshi","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Health and Wellness Research Group, College of Medicine and Health Sciences, United Arab Emirates University, Al-Ain, United Arab Emirates"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mirah Hamdan","family":"Alshehhi","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Health and Wellness Research Group, College of Medicine and Health Sciences, United Arab Emirates University, Al-Ain, United Arab Emirates"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanouf Mahdi","family":"Alshaka","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Health and Wellness Research Group, College of Medicine and Health Sciences, United Arab Emirates University, Al-Ain, United Arab Emirates"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sohrab","family":"Amiri","sequence":"additional","affiliation":[{"name":"Spiritual Health Research Centre, Lifestyle Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moien AB","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Health and Wellness Research Group, College of Medicine and Health Sciences, United Arab Emirates University, Al-Ain, United Arab Emirates"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,8]]},"reference":[{"key":"R2-20261008","doi-asserted-by":"crossref","first-page":"1678","DOI":"10.1503\/cmaj.1040498","article-title":"The Canadian adverse events study: The incidence of adverse events among hospital patients in Canada","volume":"170","author":"Baker","year":"2004","journal-title":"CMAJ"},{"key":"R3-20261008","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1136\/bmj.328.7433.199","article-title":"Comparison of three methods for estimating rates of adverse events and rates of preventable adverse events in acute care hospitals","volume":"328","author":"Michel","year":"2004","journal-title":"BMJ"},{"key":"R4-20261008","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1186\/1472-6963-10-152","article-title":"Measuring patient safety culture in Taiwan using the Hospital Survey on Patient Safety Culture (HSOPSC)","volume":"10","author":"Chen","year":"2010","journal-title":"BMC Health Serv Res"},{"key":"R5-20261008","article-title":"To Err is Human: Building a Safer Health System","author":"Lt","year":"2000","journal-title":"Institute of Medicine, Committee on Quality of Health Care in America"},{"key":"R6-20261008","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1001\/jama.284.1.95","article-title":"Institute of Medicine medical error figures are not exaggerated","volume":"284","author":"Leape","year":"2000","journal-title":"JAMA"},{"key":"R7-20261008","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1093\/intqhc\/mzp025","article-title":"The incidence of adverse events in Swedish hospitals: A retrospective medical record review study","volume":"21","author":"Soop","year":"2009","journal-title":"Int J Qual Health Care"},{"key":"R8-20261008","article-title":"Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry: Executive Summary","author":"Francis","year":"2013","journal-title":"The Stationery Office"},{"key":"R9-20261008","doi-asserted-by":"crossref","first-page":"328","DOI":"10.1097\/PTS.0000000000000369","article-title":"A national study of patient safety culture in hospitals in Sweden","volume":"15","author":"Danielsson","year":"2019","journal-title":"J Patient Saf"},{"key":"R10-20261008","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1080\/02678379108257007","article-title":"The structure of employee attitudes to safety: A European example","volume":"5","author":"Cox","year":"1991","journal-title":"Work Stress"},{"key":"R11-20261008","doi-asserted-by":"crossref","first-page":"17ii","DOI":"10.1136\/qhc.12.suppl_2.ii17","article-title":"Safety culture assessment: A tool for improving patient safety in healthcare organizations","volume":"12","author":"Nieva","year":"2003","journal-title":"Qual Saf Health Care"},{"key":"R12-20261008","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1002\/(SICI)1099-1379(199903)20:2<185::AID-JOB892>3.0.CO;2-C","article-title":"Perceptions of organizational safety: Implications for the development of safety culture","volume":"20","author":"Clarke","year":"1999","journal-title":"J Organ Behav"},{"key":"R13-20261008","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1037\/0021-9010.65.1.96","article-title":"Safety climate in industrial organizations: Theoretical and applied implications","volume":"65","author":"Zohar","year":"1980","journal-title":"J Appl Psychol"},{"key":"R14-20261008","doi-asserted-by":"crossref","first-page":"587","DOI":"10.1037\/0021-9010.85.4.587","article-title":"A group-level model of safety climate: Testing the effect of group climate on microaccidents in manufacturing jobs","volume":"85","author":"Zohar","year":"2000","journal-title":"J Appl Psychol"},{"key":"R15-20261008","doi-asserted-by":"crossref","first-page":"660","DOI":"10.1093\/intqhc\/mzy080","article-title":"The patient safety culture: A systematic review by characteristics of hospital survey on patient safety culture dimensions","volume":"30","author":"Reis","year":"2018","journal-title":"Int J Qual Health Care"},{"key":"R17-20261008","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1093\/intqhc\/mzn003","article-title":"Development of a patient safety climate scale in Japan","volume":"20","author":"Matsubara","year":"2008","journal-title":"Int J Qual Health Care"},{"key":"R18-20261008","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1186\/1472-6963-10-279","article-title":"Patient safety in surgical environments: Cross-countries comparison of psychometric properties and results of the Norwegian version of the hospital survey on patient safety","volume":"10","author":"Haugen","year":"2010","journal-title":"BMC Health Serv Res"},{"key":"R19-20261008","doi-asserted-by":"crossref","first-page":"70","DOI":"10.18535\/jmscr\/v8i4.14","article-title":"Appraisal of patient safety culture in a tertiary care hospital from north India","volume":"8","author":"Chowdhary","year":"2020","journal-title":"J Med Sci Clin Res"},{"key":"R20-20261008","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1186\/1472-6963-8-230","article-title":"The psychometric properties of the \u2018hospital survey on patient safety culture\u2019 in Dutch hospitals","volume":"8","author":"Smits","year":"2008","journal-title":"BMC Health Serv Res"},{"key":"R21-20261008","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1186\/1472-6963-13-228","article-title":"Hospital survey on patient safety culture in China","volume":"13","author":"Nie","year":"2013","journal-title":"BMC Health Serv Res"},{"key":"R22-20261008","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1136\/qshc.2005.014761","article-title":"Measuring safety climate in health care","volume":"15","author":"Flin","year":"2006","journal-title":"Qual Saf Health Care"},{"key":"R23-20261008","first-page":"68","article-title":"Measuring the safety culture in a hospital setting: A concept whose time has come?","volume":"123","author":"Robb","year":"2010","journal-title":"N Z Med J"},{"key":"R24-20261008","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1136\/bmjqs.2010.040964","article-title":"Safety culture in healthcare: A review of concepts, dimensions, measures and progress","volume":"20","author":"Halligan","year":"2011","journal-title":"BMJ Qual Saf"},{"key":"R25-20261008","article-title":"Surveys on Patient Safety Culture","year":"2017"},{"key":"R26-20261008","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1186\/1472-6963-10-28","article-title":"Validity and reliability of Turkish version of \u201chospital survey on patient safety culture\u201d and perception of patient safety in public hospitals in Turkey","volume":"10","author":"Bodur","year":"2010","journal-title":"BMC Health Serv Res"},{"key":"R27-20261008","doi-asserted-by":"crossref","first-page":"620","DOI":"10.1108\/09526860710822752","article-title":"Challenging patient safety culture: Survey results","volume":"20","author":"Hellings","year":"2007","journal-title":"Int J Health Care Qual Assur"},{"key":"R28-20261008","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1097\/PTS.0b013e3181fd1a00","article-title":"Exploring relationships between hospital patient safety culture and adverse events","volume":"6","author":"Mardon","year":"2010","journal-title":"J Patient Saf"},{"key":"R29-20261008","article-title":"World Alliance for Patient Safety: Forward Programme 2005","year":"2004"},{"key":"R30-20261008","doi-asserted-by":"crossref","first-page":"9156301","DOI":"10.1155\/2018\/9156301","article-title":"Healthcare professional\u2019s perception of patient safety measured by the hospital survey on patient safety culture: A systematic review and meta-analysis","volume":"2018","author":"Okuyama","year":"2018","journal-title":"ScientificWorldJournal"},{"key":"R31-20261008","doi-asserted-by":"crossref","first-page":"350","DOI":"10.2307\/2666999","article-title":"Psychological safety and learning behavior in work teams","volume":"44","author":"Edmondson","year":"1999","journal-title":"Adm Sci Q"},{"key":"R32-20261008","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1016\/j.jclinepi.2007.11.008","article-title":"The strengthening the reporting of observational studies in epidemiology (STROBE) statement: Guidelines for reporting observational studies","volume":"61","author":"von Elm","year":"2008","journal-title":"J Clin Epidemiol"},{"key":"R33-20261008","doi-asserted-by":"crossref","first-page":"e0275606","DOI":"10.1371\/journal.pone.0275606","article-title":"Safety culture and adverse event reporting in Ghanaian healthcare facilities: Implications for patient safety","volume":"17","author":"Abuosi","year":"2022","journal-title":"PLoS One"},{"key":"R34-20261008","doi-asserted-by":"crossref","first-page":"14380","DOI":"10.3390\/ijerph192114380","article-title":"Patient safety culture in Latin American hospitals: A systematic review with meta-analysis","volume":"19","author":"Camacho-Rodr\u00edguez","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"R35-20261008","doi-asserted-by":"crossref","first-page":"506","DOI":"10.1177\/0193945921999449","article-title":"Barriers to incident reporting among nurses: A qualitative systematic review","volume":"44","author":"Hamed","year":"2022","journal-title":"West J Nurs Res"},{"key":"R36-20261008","doi-asserted-by":"crossref","first-page":"2022","DOI":"10.1111\/jan.70033","article-title":"Factors affecting patient safety near miss reporting: A systematic review","volume":"82","author":"Alfayez","year":"2026","journal-title":"Aust J Adv Nurs"},{"key":"R37-20261008","doi-asserted-by":"crossref","first-page":"820","DOI":"10.3390\/ijerph22060820","article-title":"Antecedents of workplace psychological safety in public safety and frontline healthcare: A scoping review","volume":"22","author":"Ip","year":"2025","journal-title":"Int J Environ Res Public Health"},{"key":"R38-20261008","doi-asserted-by":"crossref","first-page":"369","DOI":"10.7326\/0003-4819-158-5-201303051-00002","article-title":"Promoting a culture of safety as a patient safety strategy: A systematic review","volume":"158","author":"Weaver","year":"2013","journal-title":"Ann Intern Med"}],"container-title":["Journal of Education and Health Promotion"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jehp.jehp_157_26","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T14:00:49Z","timestamp":1791468049000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jehp.jehp_157_26"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":36,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/jehp.jehp_157_26","relation":{},"ISSN":["2277-9531","2319-6440"],"issn-type":[{"value":"2277-9531","type":"print"},{"value":"2319-6440","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"2026-01-27","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-21","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}