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牙科学院的患者安全文化认知

Patient safety culture perceptions in the college of dentistry.

作者信息

Al Sweleh Fahad Saleh, Al Saedan Abdullah Mohammed, Al Dayel Omar Abdullah

机构信息

Department of Dental Clinics, College of Dentistry, King Saud University Department of Dental Clinics, Prince Abdulrahman Advanced Dental Institute, Riyadh, Kingdom of Saudi Arabia.

出版信息

Medicine (Baltimore). 2018 Jan;97(2):e9570. doi: 10.1097/MD.0000000000009570.

Abstract

A positive safety culture is essential to patient safety because it improves quality of care. The aim of this study was to assess staff and student perceptions of the patient safety culture in the clinics of the College of Dentistry at King Saud University in Saudi Arabia.A cross-sectional study was conducted in the College of Dentistry at King Saud University in Saudi Arabia. It included 4th and 5th year students, interns, general practitioners, and dental assistants. The data were collected by using paper-based questionnaire of modified version of the Agency for Healthcare Research and Quality Hospital Survey on Patient Safety Culture. Data were entered into SPSS Version 20. Score on a particular safety culture dimension was calculated.The overall response rate was 72.8% (390/536). Team work dimension had the highest average percent positive dimension score (72.3%) while staffing had the lowest score (10%). Dental assistant had high agreement in Teamwork dimension (87.8%); Supervisor/Manager Expectations and Actions Promoting Patient Safety dimension (66.9%); Organizational Learning-Continuous Improvement dimension (79.1%); Management Support for Patient Safety dimension (84.5%); Feedback and Communication About Error dimension (58.3%); Frequency of Events Reported dimension (54.0%); Teamwork Across Units dimension (73.2%). Most of areas perceived that there is no event reported (76.1-85.3%) in the past 12 months.Overall patient safety grade is more than moderate in the clinic. Teamwork within Units and Organizational Learning-Continuous Improvement dimension had the highest score while staffing had the lowest score. Dental assistants perceived positive score in most dimensions while students perceived slight negative score in most dimensions.

摘要

积极的安全文化对患者安全至关重要,因为它能提高医疗质量。本研究的目的是评估沙特阿拉伯国王沙特大学牙科学院诊所工作人员和学生对患者安全文化的看法。

在沙特阿拉伯国王沙特大学牙科学院进行了一项横断面研究。研究对象包括四年级和五年级学生、实习生、全科医生和牙科助理。通过使用基于纸质问卷的医疗保健研究与质量局医院患者安全文化调查修改版收集数据。数据录入SPSS 20版,计算特定安全文化维度的得分。

总体回复率为72.8%(390/536)。团队合作维度的平均正向维度得分百分比最高(72.3%),而人员配备得分最低(10%)。牙科助理在团队合作维度(87.8%)、主管/经理促进患者安全的期望与行动维度(66.9%)、组织学习-持续改进维度(79.1%)、管理对患者安全的支持维度(84.5%)、关于错误的反馈与沟通维度(58.3%)、事件报告频率维度(54.0%)、跨部门团队合作维度(73.2%)方面达成高度共识。大多数领域认为在过去12个月内没有事件报告(76.1 - 85.3%)。

诊所整体患者安全等级高于中等水平。单位内部团队合作和组织学习-持续改进维度得分最高,而人员配备得分最低。牙科助理在大多数维度上得分呈正向,而学生在大多数维度上得分呈轻微负向。

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