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Table 1 Emerging themes and subthemes

From: Hospital managers’ views on the state of patient safety culture across three regions in Ghana

Themes

Sub-themes

Communication about error

• Various communication approaches

Communication openness

• Easy communication

Handoffs and information exchange

• Good, detailed handover

• Sub-standard handover

Hospital management support for patient Safety

• Failure to create general safety in hospital

• Reactive management approach to safety problems

Organizational learning

• Planned and structured organisational learning

• Unplanned and unstructured organisational learning

• Lack of implementation of knowledge

Reporting of patient safety events

• No structured approach to reporting

• Selective and non-selective reporting of errors

• Fear of reporting

Response to error

• Unstandardised approaches in responding to error

• The nature of an error influences the response

• Blame culture still exists

Staffing and work pace

• Contributors to staff shortage

o Shortage of permanent staff & ageing workforce

o Problems in staff recruitment

o Poor management of leave & placement of ill staff

• Consequences of staff shortage

o Staff shortage compromised safety

Manager/Supervisor support for patient safety

• Consultation with frontline personnel

• Lack of support with resources

Teamwork

• Teamwork within units

• Lack of teamwork across units