Department of Public and Occupational Health, Room A-507, VUmc-EMGO Institute for Health and Care Research, Van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands.
Int J Qual Health Care. 2014 Feb;26(1):64-70. doi: 10.1093/intqhc/mzt087. Epub 2013 Dec 10.
To describe the patient safety culture of Dutch emergency departments (EDs), to examine associations between safety culture dimensions and patient safety grades as reported by ED staff and to compare these associations between nurses and physicians.
Cross-sectional survey conducted in 2007.
Thirty-three non-academic EDs in the Netherlands.
Four hundred and eighty nurses, 159 physicians and 91 other professionals.
Self-reported level of patient safety.
In unadjusted analyses, all dimensions of safety culture were positively associated with the reported level of patient safety and six of these associations with patient safety were statistically significant after adjustment ('teamwork across units', 'frequency of event reporting', communication openness', 'feedback about and learning from errors', 'hospital management support for patient safety'). Differences between nurses and physicians were found on two dimensions ('frequency of event reporting' and ' hospital management support for patient safety'). Physicians tended to grade patient safety higher than nurses whilst having equal judgements on these two dimensions.
Staff identified several dimensions of safety culture that are associated with staff-reported safety in the ED. Physicians and nurses identified distinct dimensions of safety culture as associated with reported level of patient safety.
描述荷兰急诊部（ED）的患者安全文化，研究 ED 工作人员报告的安全文化维度与患者安全等级之间的关联，并比较护士和医生之间的这些关联。
2007 年进行的横断面调查。
荷兰 33 家非学术性急诊部。
480 名护士、159 名医生和 91 名其他专业人员。
自我报告的患者安全水平。
在未调整的分析中，安全文化的所有维度都与报告的患者安全水平呈正相关，在调整后，其中六个维度与患者安全的关联具有统计学意义（“跨单位的团队合作”、“事件报告的频率”、“沟通开放性”、“从错误中反馈和学习”、“医院管理层对患者安全的支持”）。在两个维度（“事件报告的频率”和“医院管理层对患者安全的支持”）上发现了护士和医生之间的差异。医生对患者安全的评分往往高于护士，而在这两个维度上的判断是相等的。
工作人员确定了几个与 ED 中工作人员报告的安全相关的安全文化维度。医生和护士确定了与报告的患者安全水平相关的不同安全文化维度。
