IQ Healthcare, Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
J Eval Clin Pract. 2013 Oct;19(5):944-7. doi: 10.1111/j.1365-2753.2012.01887.x. Epub 2012 Jul 29.
The study aims to explore whether health care professionals' perceptions of patient safety in their practice were associated with the number of patient safety incidents identified in patient records.
Seventy primary care practices of general practice, general dental practice, midwifery practices and allied health care practices were used in the study.
A retrospective audit of 50 patient records was performed to identify patient safety incidents in each of the practices and a survey among health professionals to identify their perceptions of patient safety.
All health professions felt that 'communication breakdowns inside the practice' as well as 'communication breakdowns outside the practice' and 'reporting of patient safety concerns' were a threat to patient safety in their work setting. We found little association between the perceptions of health professionals and the number of safety incidents. The only item with a significant relation to a higher number of safety incidents referred to the perception of 'communication problems outside the practice' as a threat to patient safety.
This study indicates that the assessment of professionals' perceptions may be complementary to observed safety incidents, but not linked to an objective measure of patient safety.
本研究旨在探讨医护人员在实际工作中对患者安全的感知是否与患者记录中识别出的患者安全事件数量有关。
本研究使用了 70 家普通医疗实践、普通牙科实践、助产实践和联合保健实践的初级保健实践。
对每个实践中的 50 份患者记录进行回顾性审核，以确定患者安全事件，并对卫生专业人员进行调查，以确定他们对患者安全的看法。
所有卫生专业人员都认为“实践内部的沟通中断”以及“实践外部的沟通中断”和“报告患者安全问题”对他们的工作环境中的患者安全构成威胁。我们发现卫生专业人员的看法与安全事件的数量之间几乎没有关联。唯一与安全事件数量较多相关的项目是将“实践外部的沟通问题”视为对患者安全的威胁。
本研究表明，对专业人员看法的评估可能与观察到的安全事件相辅相成，但与患者安全的客观衡量标准无关。
