From the Department of Health Policy and Management, Indiana University, Richard M. Fairbanks School of Public Health, Indianapolis, Indiana.
Department of Healthcare Leadership and Management, Medical University of South Carolina, Charleston, South Carolina.
J Patient Saf. 2021 Dec 1;17(8):e1514-e1521. doi: 10.1097/PTS.0000000000000540.
An essential element of effective medical practice management is having a shared set of beliefs among members regarding patient safety climate. Recognizing the need for improving patient safety, the Agency for Healthcare Research and Quality began a series of surveys to assess medical practice members' attitudes and beliefs on patient safety climate. The aim of the study was to examine owners and clinicians perceptions of their medical practice's patient safety climate.
We used the 2010-2011 Medical Office Survey on Patient Safety Culture collected by the Agency for Healthcare Research and Quality. We used hierarchical linear modeling to examine owners' and clinicians' perceptions of practice's patient safety climate while controlling for the nested nature of individuals within practices.
Managers with ownership responsibility, clinicians with ownership responsibility, and staff clinicians have different perceptions of the practice's patient safety climate. In particular, managers with ownership responsibility have more positive perceptions of the patient safety climate, as compared with non-owners. Clinicians with ownership responsibility had less favorable views than managers in a similar role. Finally, staff clinicians have the most negative perceptions of patient safety climate as compared with individuals in the ownership positions.
There is a statistically significant lack of agreement among medical office team members depending on their backgrounds and roles. Increasing the communication among organizational members about their practice's patient safety climate is a principal aim whether improvements in care quality are to be achieved.
在医疗实践管理中，成员之间对于患者安全氛围有一套共同的信念是至关重要的。为了认识到提高患者安全的必要性，医疗保健研究和质量局开始进行一系列调查，以评估医疗实践成员对患者安全氛围的态度和信念。本研究旨在考察业主和临床医生对其医疗实践的患者安全氛围的看法。
我们使用了医疗保健研究和质量局在 2010-2011 年收集的《医疗办公室患者安全文化调查》。我们使用分层线性模型，在控制个体在实践中嵌套性质的同时，考察了业主和临床医生对实践的患者安全氛围的看法。
具有所有权责任的经理、具有所有权责任的临床医生和员工临床医生对实践的患者安全氛围有不同的看法。具体而言，与非业主相比，具有所有权责任的经理对患者安全氛围的看法更为积极。具有所有权责任的临床医生的观点不如类似角色的经理积极。最后，与拥有所有权的个人相比，员工临床医生对患者安全氛围的看法最消极。
根据其背景和角色的不同，医疗办公室团队成员之间存在显著缺乏共识的情况。增加组织成员之间关于其实践的患者安全氛围的沟通是一个主要目标，无论是否要实现护理质量的提高。
