Pozo Muñoz F, Padilla Marín V
Médico especialista en Medicina Familiar y Comunitaria, Hospital Regional Universitario Carlos Haya de Málaga, Málaga, España.
Rev Calid Asist. 2013 Nov-Dec;28(6):329-36. doi: 10.1016/j.cali.2013.03.009. Epub 2013 Jun 2.
A descriptive, cross-sectional study based on the results of an evaluation of the safety-related culture was conducted on a randomly selected sample of 247 healthcare providers, by using the Spanish adaptation of the Hospital Survey on Patient Safety Culture (HSOPSC) designed by the Agency for Healthcare Research and Quality (AHRQ), as the evaluation tool. Positive and negative responses were analysed, as well as the global score. Results were compared with international and national results.
A total of 176 completed survey questionnaires were analysed (response rate: 71.26%); 50% of responders described the safety climate as very good, 37% as acceptable, and 7% as excellent. Strong points were: «Teamwork within the units» (80.82%) and «Supervisor/manager expectations and actions» (80.54%). Dimensions identified for potential improvement included: «Staffing» (37.93%), «Non-punitive response to error» (41.67%), and «Frequency of event reporting» (49.05%).
Strong and weak points were identified in the safety-related culture of the healthcare district studied, together with potential improvement areas. Benchmarking at the international level showed that our safety-related culture was within the average of hospitals, while at the national level, our results were above the average of hospitals.
1）描述在一个医疗区工作的医护人员中，就患者安全而言积极态度和行为的出现频率；2）确定与安全相关的文化水平是否与其他研究不同；3）分析负面评价的维度，并确定改进领域。
采用美国医疗保健研究与质量局（AHRQ）设计的《医院患者安全文化调查》（HSOPSC）的西班牙文改编版作为评估工具，对随机抽取的247名医护人员进行基于安全相关文化评估结果的描述性横断面研究。分析了正面和负面回答以及总体得分。将结果与国际和国内结果进行比较。
共分析了176份完整的调查问卷（回复率：71.26%）；50%的回复者将安全氛围描述为非常好，37%为可接受，7%为优秀。优点包括：“科室内部团队合作”（80.82%）和“上级/管理者的期望与行动”（80.54%）。确定的潜在改进维度包括：“人员配备”（37.93%）、“对差错的无惩罚性反应”（41.67%）以及“事件报告频率”（49.05%）。
在所研究的医疗区的安全相关文化中确定了优点和不足以及潜在的改进领域。国际层面的标杆对比显示，我们的安全相关文化处于医院平均水平，而在国家层面，我们的结果高于医院平均水平。
