Centre for Clinical Governance Research, Faculty of Medicine, University of New South Wales, Sydney, Australia.
BMJ Qual Saf. 2011 May;20(5):424-31. doi: 10.1136/bmjqs.2010.047605. Epub 2011 Jan 17.
Methods for improving patient safety are predicated on cooperation between healthcare groups, but are the views of health professionals involved in promoting safety shared by other healthcare workforce staff and managers?
To compare patient-safety suggestions from health workforce managerial and staff groups with those of patient-safety specialists.
Samples of managers (424) and staff (1214) in the South Australian state health system and 131 Australian patient-safety specialists were asked to write suggestions for improving patient safety. Group responses were content analysed and compared.
Patient-safety specialists (83.2%) were more likely to make suggestions than were workforce managers (57.8%) or staff (44.1%). Workforce members from clinical professions were more likely than non-clinicians to tender suggestions. No relationship existed between the importance specialists and managers (ρ = -0.062, p = 0.880) and specialists and staff (ρ = -0.046, p = 0.912) attached to nine categories of suggestions. There was a high correlation between the importance that managers and non-managers attached to safety strategies (ρ = 0.817, p = 0.011). Among those who made suggestions, specialists were more likely to suggest implementing reviews and guidelines, and incident reporting. Workforce groups were more likely to recommend increased and improved staffing and staffing conditions, and better equipment and infrastructure. There were no significant differences in the proportions of group members recommending: improving management and leadership; increasing staff safety education and supervision; communication and teamwork; improved patient focus; or tackling specific safety projects.
Differences between safety specialists' and workforce groups' beliefs about how to improve patient safety may impede the successful implementation of patient-safety programmes.
提高患者安全的方法取决于医疗保健团体之间的合作，但参与促进安全的卫生专业人员的观点是否与其他医疗保健劳动力人员和管理人员共享？
比较卫生劳动力管理人员和工作人员（424 人）与患者安全专家对患者安全建议的看法。
南澳大利亚州卫生系统的管理人员（424 人）和工作人员（1214 人）以及 131 名澳大利亚患者安全专家样本被要求提出改善患者安全的建议。对小组的回应进行了内容分析并进行了比较。
患者安全专家（83.2%）比劳动力管理人员（57.8%）或工作人员（44.1%）更有可能提出建议。来自临床专业的劳动力成员比非临床人员更有可能提出建议。专家和管理人员（ρ=-0.062，p=0.880）以及专家和工作人员（ρ=-0.046，p=0.912）之间不存在与九个类别的建议相关的重要性之间的关系。管理人员和非管理人员对安全策略的重视程度（ρ=0.817，p=0.011）之间存在高度相关性。在提出建议的人当中，专家更有可能建议实施审查和指南以及事件报告。劳动力团体更有可能建议增加和改善人员配备和人员配备条件，以及更好的设备和基础设施。在建议改善管理和领导；增加员工安全教育和监督；沟通和团队合作；改善患者关注度；或解决特定安全项目的人员比例方面，没有显著差异。
安全专家和劳动力团体对如何提高患者安全的看法之间的差异可能会阻碍患者安全计划的成功实施。
