Olsen Espen
Fagområde risikostyring og samfunnssikkerhet, Det samfunnsvitenskapelige fakultet, Universitetet i Stavanger, Postboks 8002 Ullandhaug, 4068 Stavanger.
Tidsskr Nor Laegeforen. 2007 Oct 18;127(20):2656-60.
Little is known about the quality of work practices regarding patient safety and the safety culture as such in the Norwegian health care services.
A questionnaire survey was performed at Stavanger University Hospital, with health workers as the main target group. The "Hospital Survey On Patient Safety Culture" (HSOPSC) instrument was translated into Norwegian and used to measure safety culture. 1919 workers answered the survey (55%).
The different disciplines varied with respect to the culture of reporting (large variation) and the general judgement of patient safety (less variation). 50% of the health workers regarded patient safety to be very good or excellent. Social educators, nurses and specialist nurses regarded patient safety to be lower than that reported by other professional groups. Generally all the safety culture dimensions were significantly correlated and should therefore be considered together. Feedback and communication about error were e.g. the factors, which were most highly correlated with reporting of near events. Norwegian health workers perceive the safety culture to be less adequate than that reported by American health care workers for similar assessments, with the exception of three dimensions (communication openness, non-punitive response to error, supervisor/manager expectations & actions promoting patient safety) dimensions.
The results indicate a need to improve safety culture and patient safety in Norwegian health care.
对于挪威医疗服务中患者安全的工作实践质量以及安全文化本身，人们了解甚少。
在斯塔万格大学医院进行了一项问卷调查，主要目标群体为医护人员。“医院患者安全文化调查”（HSOPSC）工具被翻译成挪威语并用于衡量安全文化。1919名工作人员回答了该调查（回复率为55%）。
不同学科在报告文化（差异较大）和患者安全总体判断（差异较小）方面存在差异。50%的医护人员认为患者安全非常好或优秀。社会教育工作者、护士和专科护士认为患者安全低于其他专业群体报告的水平。总体而言，所有安全文化维度都显著相关，因此应综合考虑。例如，关于错误的反馈和沟通是与险兆事件报告相关性最高的因素。挪威医护人员认为安全文化不如美国医护人员在类似评估中报告的那样充分，但有三个维度（沟通开放性、对错误的无惩罚性反应、主管/经理对促进患者安全的期望与行动）除外。
结果表明挪威医疗服务需要改善安全文化和患者安全。
