Raso-Raso Rafael, Uris-Selles Joaquín, Nolasco-Bonmatí Andreu, Grau-Jornet Guillermo, Revert-Gandia Rosa, Jiménez-Carreño Rebeca, Sánchez-Soriano Ruth M, Chamorro-Fernández Carlos I, Marco-Francés Elvira, Albero-Martínez José V
Unidad de Cardiología, Hospital Virgen de los Lirios, Alcoy, Alicante, España.
Departamento de Enfermería Comunitaria, Medicina Preventiva y Salud Pública e Historia de la Ciencia, Facultad de Ciencias de la Salud, Universidad de Alicante, San Vicente del Raspeig, España.
Arch Cardiol Mex. 2018 Jul-Sep;88(3):190-196. doi: 10.1016/j.acmx.2017.03.003. Epub 2017 Apr 4.
Safety culture is one of the requirements for preventing the occurrence of adverse effects. However, this has not been studied in the field of cardiology. The aim of this study is to evaluate the safety culture in a cardiology unit that has implemented and certified an integrated quality and risk management system for patient safety.
A cross-sectional observational study was conducted in 2 consecutive years, with all staff completing the Spanish version of the questionnaire, "Hospital Survey on Patient Safety Culture" of the "Agency for Healthcare Research and Quality", with 42 items grouped into 12 dimensions. The percentage of positive responses in each dimension in 2014 and 2015 were compared, as well as national data and United States data, following the established rules.
The overall assessment out of a possible 5, was 4.5 in 2014 and 4.7 in 2015. Seven dimensions were identified as strengths. The worst rated were: staffing, management support and teamwork between units. The comparison showed superiority in all dimensions compared to national data, and in 8 of them compared to American data.
The safety culture in a Cardiology Unit with an integrated quality and risk management patient safety system is high, and higher than nationally in all its dimensions and in most of them compared to the United States.
安全文化是预防不良反应发生的要求之一。然而，这在心脏病学领域尚未得到研究。本研究的目的是评估一个已实施并认证了患者安全综合质量和风险管理系统的心脏病科的安全文化。
连续两年进行横断面观察性研究，所有工作人员完成美国医疗保健研究与质量局的《患者安全文化医院调查问卷》的西班牙语版本，该问卷有42个项目，分为12个维度。按照既定规则，比较了2014年和2015年各维度的阳性反应百分比，以及国家数据和美国数据。
满分5分的总体评估中，2014年为4.5分，2015年为4.7分。七个维度被确定为优势。评分最差的是：人员配备、管理支持和科室间团队合作。比较显示，与国家数据相比，所有维度均具有优势，与美国数据相比，其中8个维度具有优势。
拥有患者安全综合质量和风险管理系统的心脏病科的安全文化水平较高，在所有维度上均高于全国水平，与美国相比，大多数维度也更高。
