Mousavi Seyed Mohammad Hadi, Jabbarvand Behrouz Mahmoud, Zerati Hojjat, Dargahi Hossein, Asadollahi Akram, Mousavi Seyed Ahmad, Ashrafi Elham, Aliyari Abolfazl
Health Information Management Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Eye Research Center (ERC), Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Iran J Public Health. 2018 Jan;47(1):77-85.
A high-reliability organization (HRO) is a separate paradigm can indicate medical error reduction and patient safety improvement. Hospitals, as vital organizations in the health care system, can transform to HROs to achieve optimal performance and maximum safety in order to manage unpredicted events efficiently. Therefore, the aim of this research was to determine the knowledge of managers and staffs of Farabi Eye Hospital, Tehran, Iran about HROs model, and the extent of HROs establishment in this hospital in 2015-2016.
In this descriptive-analytical and cross-sectional study, data were collected through HROs questionnaire and checklist. Validity of questionnaire and checklist was confirmed by expert panel, and the questionnaire reliability by Alpha-Cronbach method with 0.85. The collected data were analyzed with Spearman's correlation coefficient and Mann-Whitney test using the SPSS software version 19.
Most of the respondents were familiar with HROs model to some extent and only 18.8% had a high level of knowledge in this regard. In addition, there was no significant correlation between the knowledge of staffs and managers with establishment of HROs model in Farabi eye hospital.
Managers and staffs of Farabi Eye Hospital did not have a high knowledge level of the model of HROs and had little information about the functions and characteristics of these organizations. Therefore, we suggest HROs training courses and workshops should be established in this hospital to increase the knowledge of the managers and staffs for better establishment of HROs model.
高可靠性组织（HRO）是一种独特的范式，可表明医疗差错减少和患者安全改善。医院作为医疗保健系统中的重要组织，可以转变为高可靠性组织，以实现最佳绩效和最大安全性，从而有效管理不可预测的事件。因此，本研究的目的是确定伊朗德黑兰法拉比眼科医院的管理人员和工作人员对高可靠性组织模式的了解，以及2015 - 2016年该医院高可靠性组织的建立程度。
在这项描述性分析横断面研究中，通过高可靠性组织问卷和清单收集数据。问卷和清单的有效性由专家小组确认，问卷可靠性通过Alpha - Cronbach方法确定，系数为0.85。使用SPSS 19版软件，对收集的数据进行Spearman相关系数分析和Mann - Whitney检验。
大多数受访者在一定程度上熟悉高可靠性组织模式，只有18.8%的人在这方面有较高的知识水平。此外，法拉比眼科医院工作人员和管理人员的知识与高可靠性组织模式的建立之间没有显著相关性。
法拉比眼科医院的管理人员和工作人员对高可靠性组织模式的知识水平不高，对这些组织的功能和特征了解甚少。因此，我们建议在该医院开设高可靠性组织培训课程和研讨会，以增加管理人员和工作人员的知识，以便更好地建立高可靠性组织模式。
