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[加利西亚家庭医学住院医师的患者安全文化]

[Patient safety culture in Family practice residents of Galicia].

作者信息

Portela Romero Manuel, Bugarín González Rosendo, Rodríguez Calvo María Sol

机构信息

Medicina Familiar y Comunitaria, Gerencia de Gestión Integrada de Santiago de Compostela, Servicio Gallego de Salud, Santiago de Compostela, A Coruña, España.

Medicina Familiar y Comunitaria, Unidad de Asesoramiento Científico-técnico, Avalia-t, Agencia de Conocimiento en Salud, ACIS, Servicio Gallego de Salud, Santiago de Compostela, A Coruña, España.

出版信息

Aten Primaria. 2017 Jun-Jul;49(6):343-350. doi: 10.1016/j.aprim.2016.09.009. Epub 2017 Apr 20.

Abstract

OBJECTIVE

To determine the views held by Family practice (FP) residents on the different dimensions of patient safety, in order to identify potential areas for improvement.

DESIGN

A cross-sectional study.

LOCATION

Seven FP of Galicia teaching units.

PARTICIPANTS

182 FP residents who completed the Medical Office Survey on Patient Safety Culture questionnaire.

MEASUREMENTS

The Medical Office Survey on Patient Safety Culture questionnaire was chosen because it is translated, validated, and adapted to the Spanish model of Primary Care. The results were grouped into 12 composites assessed by the mentioned questionnaire. The study variables were the socio-demographic dimensions of the questionnaire, as well as occupational/professional variables: age, gender, year of residence, and teaching unit of FP of Galicia.

RESULTS

The "Organisational learning" and "Teamwork" items were considered strong areas. However, the "Patient safety and quality issues", "Information exchange with other settings", and "Work pressure and pace" items were considered areas with significant potential for improvement. First-year residents obtained the best results and the fourth-year ones the worst.

CONCLUSIONS

The results may indicate the need to include basic knowledge on patient safety in the teaching process of FP residents in order to increase and consolidate the fragile patient safety culture described in this study.

摘要

目的

确定家庭医学(FP)住院医师对患者安全不同维度的看法,以识别潜在的改进领域。

设计

横断面研究。

地点

加利西亚的七个FP教学单位。

参与者

182名完成了患者安全文化医疗办公室调查问卷的FP住院医师。

测量方法

选择患者安全文化医疗办公室调查问卷,因为它已被翻译、验证并适用于西班牙初级保健模式。结果被归纳为由上述问卷评估的12个综合指标。研究变量是问卷的社会人口统计学维度,以及职业/专业变量:年龄、性别、住院年份和加利西亚FP的教学单位。

结果

“组织学习”和“团队合作”项目被认为是优势领域。然而,“患者安全与质量问题”、“与其他机构的信息交流”以及“工作压力与节奏”项目被认为有很大的改进潜力。一年级住院医师取得的成绩最好,四年级住院医师成绩最差。

结论

结果可能表明,有必要在FP住院医师的教学过程中纳入患者安全的基本知识,以增强和巩固本研究中所描述的脆弱的患者安全文化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/984c/6875985/f80587d59434/fx1.jpg

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