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影响医院患者安全的因素:沙特阿拉伯医院的一项研究。

Factors affecting the climate of hospital patient safety: a study of hospitals in Saudi Arabia.

作者信息

Walston Stephen L, Al-Omar Badran A, Al-Mutari Faisal A

机构信息

Health Administration and Policy, University of Oklahoma City, Oklahoma City, Oklahoma, USA.

出版信息

Int J Health Care Qual Assur. 2010;23(1):35-50. doi: 10.1108/09526861011010668.

Abstract

PURPOSE

The purpose of this paper is to describe three organizational dimensions that influence hospital patient safety climate, also showing and discussing differences between organizational types.

DESIGN/METHODOLOGY/APPROACH: Surveys were conducted in four types of Saudi Arabian hospitals. Resultant information was analyzed using factor analysis and multiple-regression.

FINDINGS

Management support, a proper reporting system and adequate resources were found to influence the hospital patient safety climate.

RESEARCH LIMITATIONS/IMPLICATIONS: The cross-sectional hospital survey took place in a country that is radically redesigning its healthcare system. Major changes including hospital privatisation and healthcare insurance systems may have significant effects on hospital organizational climates.

ORIGINALITY/VALUE: Improving a hospital's patient safety climate is critical for decreasing errors and providing optimal services. Although much patient safety research has been published, the organizational climate in non-Western countries has not been studied. The paper provides a unique Saudi Arabian hospital perspective and suggests that three dimensions influence the patient safety climate. Hospital managers are encouraged to improve these critical dimensions to positively develop their patient safety climate.

摘要

目的

本文旨在描述影响医院患者安全氛围的三个组织维度,同时展示并讨论不同组织类型之间的差异。

设计/方法/途径:对沙特阿拉伯的四类医院进行了调查。使用因子分析和多元回归对所得信息进行了分析。

研究结果

发现管理支持、完善的报告系统和充足的资源会影响医院患者安全氛围。

研究局限性/启示:此次横断面医院调查是在一个正在彻底重新设计其医疗体系的国家进行的。包括医院私有化和医疗保险系统在内的重大变革可能会对医院组织氛围产生重大影响。

原创性/价值:改善医院患者安全氛围对于减少错误和提供优质服务至关重要。尽管已经发表了许多关于患者安全的研究,但尚未对非西方国家的组织氛围进行研究。本文提供了独特的沙特阿拉伯医院视角,并表明三个维度会影响患者安全氛围。鼓励医院管理者改善这些关键维度,以积极营造患者安全氛围。

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