Mella Laborde Mario, Gea Velázquez M Teresa, Aranaz Andrés Jesús M, Ramos Forner Gemma, Compañ Rosique Antonio F
Servicio de Cirugía General y Aparato digestivo, Hospital Universitario San Juan de Alicante, San Juan de Alicante, Alicante, España.
Servicio de Medicina Preventiva y Salud Pública, Hospital Universitario San Juan de Alicante, San Juan de Alicante, Alicante, España.
Gac Sanit. 2020 Sep-Oct;34(5):500-513. doi: 10.1016/j.gaceta.2018.10.004. Epub 2019 Jan 11.
A cross-sectional and descriptive study carried out at the San Juan University Hospital in Alicante, where the results of the assessment of the safety culture level are collected using Hospital Survey On Patient Safety survey of the Agency for Healthcare Research and Quality adapted to Spanish language.
The response rate was 35.36%. The group with the greatest participation was the physician (32.3%) and the service most involved, urgencies (9%). 86.4% had contact with the patient. 50% of workers rated the safety climate between 6 and 8 points. 82.8% did not report any adverse events in the last year. The professionals with the greatest security culture were the pharmacists and with the worst culture, the guards. No strength was identified globally. There were two dimensions that behaved like a weakness: 9 (staffing) and 10 (management support for patient safety).
The patient's perception of safety is good, although it can be improved. No strengths have been identified. The weaknesses identified are staffing, management support for patient safety, handoffs and transitions, and safety perception.
1）确定大学医院中卫生专业人员和非卫生专业人员对安全的认知；2）描述安全氛围及其优势和劣势；3）评估负面评价的维度并确定改进领域。
在阿利坎特的圣胡安大学医院开展一项横断面描述性研究，使用美国医疗保健研究与质量局的《患者安全医院调查》（已改编为西班牙语）收集安全文化水平评估结果。
回应率为35.36%。参与度最高的群体是医生（32.3%），参与度最高的科室是急诊科（9%）。86.4%的人与患者有接触。50%的工作人员将安全氛围评为6至8分。82.8%的人在过去一年中未报告任何不良事件。安全文化最强的专业人员是药剂师，最差的是保安。未发现整体优势。有两个维度表现为劣势：维度9（人员配备）和维度10（对患者安全的管理支持）。
患者对安全的认知良好，尽管仍有改进空间。未发现优势。已确定的劣势包括人员配备、对患者安全的管理支持、交接班和过渡以及安全认知。
