Patient Safety Culture in the Context of Critical Care: An Observational Study

Round 1

Reviewer 1 Report

Comments and Suggestions for Authors

Thank you for allowing me to review this very interesting manuscript.

Introduction

1. Line 38 "In order to guarantee this right  and taking into account the recommendations set out in the Global Action Plan for Patient  Safety 2021-2030 issued by the World Health Organization (WHO) [4], the National Patient Safety Plan (PNSD) 2021-2026, published by Order No. 9390/2021 [5], reinforces the  need to endorse the importance of patient safety to consolidate and promote safety in  healthcare provision." large sentence, please amend

2. Line 68 "Thus, demonstrating nurses' perceptions regarding patient safety culture can provide an overview of organizational conditions in this area, providing support for a more  realistic analysis and understanding of individual and collective behaviour patterns that  can have a positive or negative impact on healthcare, enabling the improvement of processes, flows, bundles, strengthening the focus on preventive measures, the notification  of adverse events and permanent and continuing education [16]." large sentence, please amend

3. The paper's topic is on patient safety, therefore I recommend this very recent publication to be added, as it is dealing with a patient safety definition for nurses. I am positive that this reference will benefit the manuscript and will add to the value of the published paper.

Reference: Chatzi, A. V., & Malliarou, M. (2023). The need for a nursing specific patient safety definition, a viewpoint paper. International Journal of Health Governance, 28(2), 108-116.

4. Line 97, please correct "underreporting" to "underreported"

5. Line 117, words "life" and "survival" is not appropriate here, please amend

Materials and Methods

6. Line 131 "statistical and inferential analyses." did you mean "descriptive and inferential statistics"?

7. Line 205, what kind of "score" was calculated? Do you mean the "Mean scores"?

8. Line 220: "grouped together?"

9. Please also submit full questionnaire.

10. Line 231, word "secrecy", please delete.

11. Have you reworded questions of original questionnaire? How did you check for bias, precision etc? 

Results

11. Have you sent reminders to participants to complete questionnaire? How many and within what intervals?

Discussion

12. Line 322 "The positive perception of level of critical patient safety  suggests that nurses are aware of the high risk nature inherent in healthcare organizations which can lead to adverse events due to a sequence of systemic factors, including organizational strategies, work practices, culture and risk prevention [50] and, as such, the majority (35.1%) consider that hospital management has patient safety as a priority (item F8)." large sentence, please amend

Abstract

13. Line 17, "specially", do you mean "especially"?

14. Line 23, "portion" do you mean "proportion"?

Comments on the Quality of English Language

Several minor edits I have included them in my comments above, thank you.

Author Response

Please see the attachment.

Author Response File: Author Response.pdf

Reviewer 2 Report

Comments and Suggestions for Authors

Dear authors,

Thank you for the opportunity to review the exciting paper "Patient Safety Culture in the Context of Critical Care: An Observational Study”, a well-structured study. In my opinion, there are only a few aspects that should be further improved:

1.) In general, the sentences are too long and should be shortened and simplified. Additionally, the use of serial commas needs improvement.

2.) The background and relevance of this study are comprehensively described and well-supported by corresponding study results. The aim of the study is clear, but explicit research questions and hypotheses for the statistical tests are missing.

3.) In the methods section, the recruitment process of the nurses should be described in detail.

Many thanks and good success!

Comments on the Quality of English Language

The authors used long sentences that should be shortened and simplified. Additionally, the use of serial commas needs improvement.

Author Response

Please see the attachment.

Author Response File: Author Response.pdf