Dixon Jennifer L, Tillman Matthew M, Wehbe-Janek Hania, Song Juhee, Papaconstantinou Harry T
Department of Surgery, Scott & White Memorial Hospital, Texas A&M Health Science Center College of Medicine, Temple, TX.
Department of Obstetrics and Gynecology, Scott & White Memorial Hospital, Texas A&M Health Science Center College of Medicine, Temple, TX.
Ochsner J. 2015 Summer;15(2):143-8.
Increased focus on reducing patient harm has led to surgical safety initiatives, including time-out, surgical safety checklists, and debriefings. The perception of the lay public of the surgical safety process is largely unknown.
A 20-question survey focused on perceptions of surgical safety practice was distributed to a random sample of patients following elective operations requiring hospitalization. Responses were measured by a 7-point Likert scale. Qualitative feedback was obtained through nonphysician-moderated sessions. Participation was voluntary and anonymous.
Surveys were distributed to 345 patients of whom 102 (29.5%) responded. Overall, patients felt safe as evidenced by scores for the questions "I felt safe the day of my surgery" (6.53 ± 0.72) and "Mistakes rarely happen during surgery" (5.39 ± 1.51). Patients undergoing their first surgery and patients with higher income levels were associated with a significant decrease in specific safety perceptions. Qualitative feedback sessions identified the physician-patient relationship as the most important factor positively influencing patient safety perceptions.
Current surgical safety practice is perceived positively by our patients; however, patients still identify physician-patient interactions, relationships, and trust as the most positive factors influencing their perception of the safety environment.
对减少患者伤害的日益关注催生了手术安全举措，包括暂停、手术安全核对表和术后总结。普通公众对手术安全流程的认知情况 largely unknown。
一项包含20个问题、聚焦于手术安全实践认知的调查被分发给择期住院手术后患者的随机样本。通过7点李克特量表衡量回答情况。定性反馈通过非医生主持的会议获得。参与是自愿且匿名的。
向345名患者发放了调查问卷，其中102名（29.5%）做出了回应。总体而言，患者感到安全，这体现在“手术当天我感到安全”（6.53±0.72）和“手术中很少出错”（5.39±1.51）问题的得分上。接受首次手术的患者和收入水平较高的患者在特定安全认知方面显著降低。定性反馈会议确定医患关系是对患者安全认知产生积极影响的最重要因素。
我们的患者对当前手术安全实践持积极看法；然而，患者仍将医患互动、关系和信任视为影响其对安全环境认知的最积极因素。
