Document Type : Original Article


1 Management and Accounting Department, Allameh Tabatabai University, Tehran, Iran

2 Health in Disasters and Emergencies Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran


BACKGROUND: Hospitals are a significant part of the health system, so their performance is always
measured based on some factors such as patient satisfaction and their safety level.
AIM: The present study was aimed to examine the relationship between patient safety culture with
patient satisfaction and hospital performance.
MATERIALS AND METHODS: This descriptive–analytical, cross‑sectional study was performed on
240 patients, 240 staff and 20 hospital managers in Shafa hospital of Kerman, Iran, in 2020. To collect
data, the patient safety culture, the patient satisfaction, and the hospital performance questionnaires
were used. The data were analyzed by SPSS and PLS software; to measure the research model,
structural equation models and confirmatory factor analysis were used.
RESULTS: The variable “patient satisfaction” and its components had a high mean, with the
component “the treating physician” having the highest mean. The variables “patient safety culture
and hospital performance” had a medium mean. There was a significant positive relationship between
patient safety culture–hospital performance, patient safety culture–patient satisfaction, and patient
satisfaction–hospital performance.
CONCLUSION: The patient satisfaction level was appropriate in the studied center, and a positive
and significant relationship was found between patient safety culture and patient satisfaction and
hospital performance.


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