From the Departments of Family Medicine.
Clinical Services, Allevant Solutions, LLC, Mechanicsburg, Pennsylvania.
J Patient Saf. 2019 Dec;15(4):e64-e69. doi: 10.1097/PTS.0000000000000409.
A culture-of-safety survey of our hospital staff revealed fear-based reluctance to question those in authority. We aimed to examine provider approachability (words and actions that promote trust and reduce or eliminate fear of interaction).
Providers and staff completed an anonymous facility-wide survey (survey 1) regarding perceptions of provider approachability. Results were safely communicated to providers, and improvement resources were offered. A follow-up survey (survey 2 [S2]) was performed.
The survey participation rate was 59% (389/658). Eighty-four percent of providers had improved scores in S2. Mean top-box scores improved from 0.63 to 0.76 (P < .001). Providers deemed less approachable by nonprovider staff were also deemed less approachable by their peers (r = 0.82; survey 1). Forty-four percent reported improvement in the safety culture in S2. Twenty-eight percent of providers reported making efforts to improve how they were perceived by others.
Provider approachability surveys are a safe, effective method of assessing and encouraging positive interactions that promote trust and influence positive communication. The process created an opportunity to identify and assist providers who were less approachable.
我们对医院员工进行了一项安全文化调查，结果显示，他们出于恐惧而不愿对上级提出质疑。我们旨在研究医务人员是否容易接近（能增进信任、减少或消除互动恐惧的言行）。
医务人员和员工完成了一项针对其对医务人员易接近性的看法的匿名全院范围调查（调查 1）。结果安全地反馈给了医务人员，并提供了改进资源。然后进行了一项后续调查（调查 2[S2]）。
调查参与率为 59%（389/658）。84%的医务人员在 S2 中的得分有所提高。顶尖分数从 0.63 提高到 0.76（P<.001）。非医务人员认为较难接近的医务人员，其同事也认为他们较难接近（r=0.82；调查 1）。44%的人报告说 S2 中的安全文化有所改善。28%的医务人员表示正在努力改善他人对他们的看法。
医务人员易接近性调查是一种安全、有效的评估和鼓励积极互动的方法，这种互动能增进信任并影响积极沟通。该过程为识别和帮助那些不易接近的医务人员提供了机会。
