Alzahrani Naif, Jones Russell, Abdel-Latif Mohamed E
The Medical School, College of Health and Medicine, Australian National University, Acton, ACT, Australia.
Emergency Services Research Group, Health Simulation Centre, School of Medical and Health Sciences, Edith Cowan University, Joondalup, WA, Australia.
BMC Health Serv Res. 2018 Sep 25;18(1):736. doi: 10.1186/s12913-018-3542-7.
A hospital culture that promotes and insures patient safety is a critical aspect for the effective delivery of hospital services and patient care. Yet there are significant patient health and safety issues in hospitals worldwide. This study aims to investigate doctors' and nurses' attitudes toward patient safety in the emergency departments (ED) of two Saudi hospitals.
A cross-sectional survey using a validated Safety Attitudes Questionnaire (SAQ) was used. Total of 503 ED doctors and nurses completed SAQ. Correlation analysis, using Spearman's Rho, was performed between the number of incidents reported and each dimension of the SAQ.
The mean score of each SAQ dimension was < 75%, indicating that nurses and doctors generally had less than a positive safety attitudes. This was especially prominent with dimensions of stress recognition (58.1%) and perceptions of hospital management (56.9%). Furthermore, nurses reported significantly lower on the teamwork climate dimension than doctors (p < .01), whereas doctors reported significantly lower on the hospital work conditions dimension than nurses (p < .01). There was a significant negative correlation between the number of errors reported and teamwork climate, job satisfaction, and work conditions.
Safety attitudes of doctors and nurses employed in EDs of Saudi hospitals are less than positive and correlate with the number of reported errors. Safety training interventions and management support would appear to be the most likely avenues to improve the safety attitudes and performance within Saudi ED's.
促进并确保患者安全的医院文化是有效提供医院服务和患者护理的关键方面。然而，全球医院中存在重大的患者健康和安全问题。本研究旨在调查沙特两家医院急诊科医生和护士对患者安全的态度。
采用经过验证的安全态度问卷（SAQ）进行横断面调查。共有503名急诊科医生和护士完成了SAQ。使用斯皮尔曼等级相关系数进行报告事件数量与SAQ各维度之间的相关性分析。
SAQ各维度的平均得分均<75%，表明护士和医生总体上安全态度不太积极。这在压力认知维度（58.1%）和医院管理认知维度（56.9%）中尤为突出。此外，护士在团队合作氛围维度上的得分显著低于医生（p<0.01），而医生在医院工作条件维度上的得分显著低于护士（p<0.01）。报告的错误数量与团队合作氛围、工作满意度和工作条件之间存在显著负相关。
沙特医院急诊科医生和护士的安全态度不太积极，且与报告的错误数量相关。安全培训干预措施和管理支持似乎是改善沙特急诊科安全态度和绩效的最可能途径。
