Tereanu C, Sampietro G, Sarnataro F, Mazzoleni G, Pesenti B, Sala L C, Cecchetti R, Arvati M, Brioschi D, Viscardi M, Prati C, Sala G, Barbaglio G G
Department of Hygiene and Prevention, Agenzia di Tutela della Salute Bergamo, Italy.
Epidemiology Service, Agenzia di Tutela della Salute Bergamo, Italy.
J Prev Med Hyg. 2017 Jun;58(2):E121-E129.
Patient safety and quality in healthcare are inseparable. Examining patient safety culture in staff members contributes to further develop quality in healthcare. In Italy there has been some experience in assessing patient safety culture in staff working in hospital. In this pilot study we explored patient safety culture in public health staff working in Italian Local Health Authorities.
We carried out a descriptive cross sectional study in four Italian territorial Prevention facilities in Northern Italy. We administrated an adapted Italian version of the US Hospital Survey of Patient Safety Culture to all the staff within these facilities. The survey consisted of 10 dimensions based on 33 items, according to the results of a previous psychometric validation.
Seventy per cent of the staff responded to the survey (N = 479). Overall, six out of the 10 dimensions exhibited composite scores of positive response frequency for patient safety culture below 50%. While "communication openness" (65%) was the most developed factor, "teamwork across Units" (37%) was the least developed. The work areas with the highest composite scores were Management and the Public Health Laboratory, while in terms of professional categories, Physicians had the highest scores. Patient safety culture in the staff participating in this study was lower than in hospital staff.
Our descriptive cross sectional study is the first to be carried out in Preventive medicine settings in Italy. It has clearly indicated the need of improvement. Consequently, several interventions with this aim have been implemented.
医疗保健中的患者安全与质量密不可分。审视工作人员的患者安全文化有助于进一步提升医疗保健质量。在意大利，在评估医院工作人员的患者安全文化方面已有一些经验。在这项试点研究中，我们探索了意大利地方卫生当局公共卫生工作人员的患者安全文化。
我们在意大利北部的四个地区预防机构开展了一项描述性横断面研究。我们向这些机构内的所有工作人员发放了一份改编后的意大利语版美国医院患者安全文化调查问卷。根据之前的心理测量学验证结果，该调查问卷由基于33个项目的10个维度组成。
70%的工作人员回复了调查问卷（N = 479）。总体而言，10个维度中有6个维度的患者安全文化积极回应频率综合得分低于50%。虽然“沟通开放性”（65%）是发展程度最高的因素，但“跨部门团队合作”（37%）是发展程度最低的。综合得分最高的工作领域是管理部门和公共卫生实验室，而就专业类别而言，医生的得分最高。参与本研究的工作人员的患者安全文化低于医院工作人员。
我们的描述性横断面研究是意大利首次在预防医学环境中开展的此类研究。它明确表明了改进的必要性。因此，已经实施了几项旨在实现这一目标的干预措施。
