Giménez-Marín Angeles, Rivas-Ruiz Francisco, García-Raja Ana M, Venta-Obaya Rafael, Fusté-Ventosa Margarita, Caballé-Martín Inmaculada, Benítez-Estevez Alfonso, Quinteiro-García Ana I, Bedini José Luis, León-Justel Antonio, Torra-Puig Montserrat
CMU of Clinical Laboratory, Antequera Hospital, Antequera, Spain.
Hospital Research Unit, Costa del Sol Hospital, Málaga, Spain.
Biochem Med (Zagreb). 2015 Oct 15;25(3):363-76. doi: 10.11613/BM.2015.036. eCollection 2015.
There is increasing awareness of the importance of transforming organisational culture in order to raise safety standards. This paper describes the results obtained from an evaluation of patient safety culture in a sample of clinical laboratories in public hospitals in the Spanish National Health System.
A descriptive cross-sectional study was conducted among health workers employed in the clinical laboratories of 27 public hospitals in 2012. The participants were recruited by the heads of service at each of the participating centers. Stratified analyses were performed to assess the mean score, standardized to a base of 100, of the six survey factors, together with the overall patient safety score.
740 completed questionnaires were received (88% of the 840 issued). The highest standardized scores were obtained in Area 1 (individual, social and cultural) with a mean value of 77 (95%CI: 76-78), and the lowest ones, in Area 3 (equipment and resources), with a mean value of 58 (95%CI: 57-59). In all areas, a greater perception of patient safety was reported by the heads of service than by other staff.
We present the first multicentre study to evaluate the culture of clinical safety in public hospital laboratories in Spain. The results obtained evidence a culture in which high regard is paid to safety, probably due to the pattern of continuous quality improvement. Nevertheless, much remains to be done, as reflected by the weaknesses detected, which identify areas and strategies for improvement.
人们越来越意识到转变组织文化对于提高安全标准的重要性。本文描述了对西班牙国家卫生系统中公立医院临床实验室样本的患者安全文化评估结果。
2012年对27家公立医院临床实验室的卫生工作者进行了描述性横断面研究。参与者由各参与中心的服务主管招募。进行了分层分析，以评估六个调查因素的平均得分（标准化为100分制）以及总体患者安全得分。
共收到740份完整问卷（占发放的840份的88%）。在第1领域（个人、社会和文化）获得的标准化得分最高，平均值为77（95%可信区间：76 - 78），而在第3领域（设备和资源）得分最低，平均值为58（95%可信区间：57 - 59）。在所有领域，服务主管对患者安全的认知度均高于其他工作人员。
我们展示了西班牙首个评估公立医院实验室临床安全文化的多中心研究。所得结果证明存在一种高度重视安全的文化，这可能归因于持续质量改进模式。然而，正如所发现的薄弱环节所反映的那样，仍有许多工作要做，这些薄弱环节确定了改进的领域和策略。
