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沙特阿拉伯中部一家三级医院护士对安全文化的认知

The perception of safety culture among nurses in a tertiary hospital in Central Saudi Arabia.

作者信息

Alonazi Noufa A, Alonazi Aisha A, Saeed Elshazaly, Mohamed Sarar

机构信息

Department of Pediatrics , Prince Sultan Military Medical City, Riyadh , Saudi Arabia.

Prince Abdullah bin Khaled Coeliac Disease Research Chair, King Saud University , Riyadh , Saudi Arabia.

出版信息

Sudan J Paediatr. 2016;16(2):51-58.

Abstract

Developing a patient safety culture was one of the recommendations made by the Institute of Medicine (IOM) to assist hospitals in improving patient safety. Nurses are the key to safety improvements in hospitals. It is necessary to know their awareness and perception regarding institutional safety climate. The aim of this study is to explore perceptions of patient safety among nursing staff in a tertiary hospital in Central Saudi Arabia in different discipline units. The current study was conducted at Prince Sultan Military Medical City (PSMMC), a tertiary center in Riyadh, Central Saudi Arabia. In November 2014, five hundred nurses were randomly selected to participate in this study. A survey questionnaire with Likert scale was adopted covering characteristics of participants together with their views on patient safety issues. Two hundred and twenty-four participants filled the questionnaire with a response rate of 44.8%. The overall perception of patient safety among participants was (57.9%). The majority (74.1%) thought that the existing system is good at preventing errors and only one third indicated that they have patient safety problems. Most of the participants were happy with the existing patient safety culture including organizational learning/continuous improvement (95.5%), and errors feedback and communication (76.64%). In conclusion, this study showed that perception of patient safety was sub-optimal among nurses and there are several areas for improvement regarding safety culture.

摘要

发展患者安全文化是医学研究所(IOM)提出的建议之一,以协助医院提高患者安全。护士是医院安全改进的关键。有必要了解他们对机构安全氛围的认识和看法。本研究的目的是探讨沙特阿拉伯中部一家三级医院不同科室护理人员对患者安全的看法。本研究在沙特阿拉伯中部利雅得的三级中心苏丹王子军事医疗城(PSMMC)进行。2014年11月,随机选择了500名护士参与本研究。采用了一份带有李克特量表的调查问卷,涵盖参与者的特征以及他们对患者安全问题的看法。224名参与者填写了问卷,回复率为44.8%。参与者对患者安全的总体看法为(57.9%)。大多数人(74.1%)认为现有系统善于预防错误,只有三分之一的人表示他们存在患者安全问题。大多数参与者对现有的患者安全文化感到满意,包括组织学习/持续改进(95.5%)以及错误反馈和沟通(76.64%)。总之,本研究表明护士对患者安全的认知处于次优水平,在安全文化方面有几个需要改进的领域。

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