[突尼斯初级卫生保健中的安全文化：一项多中心研究]
[Safety culture in Tunisian primary health care: A multicenter study].
作者信息
Mallouli Manel, Aouicha Wiem, Tlili Mohamed Ayoub, Limam Manel, Ajmi Thouraya, Mtiraoui Ali, Zedini Chekib
出版信息
Sante Publique. 2017 Dec 5;29(5):685-691. doi: 10.3917/spub.175.0685.
AIMS
To assess safety culture in primary healthcare centres and to explore its associated factors.
METHODS
This multicentre cross-sectional descriptive study was conducted in the 30 primary healthcare centres in central Tunisia and used the validated French version of the Hospital Survey on Patient Safety Culture questionnaire' (HSOPSC).
RESULTS
A total of 214 professionals participated, corresponding to a response rate of 85%. The ?Teamwork within centres? dimension had the highest score (71.5%). However, two safety dimensions had very low scores: ?Frequency of event reporting?, ?Non-punitive response to errors? with percentages of 31.4% and 35.4%, respectively. Among the associated factors, the ?Frequency of reported events? dimension was significantly higher among professionals involved in risk management committees (p = 0.01).
CONCLUSION
This study demonstrates that the level of safety culture needs to be improved in primary healthcare centres in Tunisia and also highlights the need to implement a quality management system in primary healthcare centres.
目的
评估初级医疗保健中心的安全文化，并探究其相关因素。
方法
这项多中心横断面描述性研究在突尼斯中部的30个初级医疗保健中心开展，使用了经过验证的法语版《医院患者安全文化调查问卷》（HSOPSC）。
结果
共有214名专业人员参与，回复率为85%。“中心内团队合作”维度得分最高（71.5%）。然而，有两个安全维度得分极低：“事件报告频率”“对错误的无惩罚性回应”，百分比分别为31.4%和35.4%。在相关因素中，参与风险管理委员会的专业人员的“报告事件频率”维度得分显著更高（p = 0.01）。
结论
本研究表明，突尼斯初级医疗保健中心的安全文化水平有待提高，同时也凸显了在初级医疗保健中心实施质量管理体系的必要性。
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