Department of Forensic Psychiatry, University of Eastern Finland, Kuopio, Finland.
Department of Nursing Science, University of Eastern Finland, Kuopio, Finland.
J Nurs Manag. 2019 May;27(4):848-857. doi: 10.1111/jonm.12760. Epub 2019 Apr 10.
To evaluate how a 3-year patient safety intervention, more specifically, the implementation of a patient safety incident reporting system, influences patient safety culture.
Positive patient safety culture improves both the quality of health care and patient safety. Nevertheless, nursing managers need tools that can help them develop and evaluate patient safety culture.
The Hospital Survey on Patient Safety Culture was used to evaluate patient safety culture at two Finnish forensic psychiatric hospitals (study and control) over two periods, baseline and follow-up. Data were analysed using Z-score and T test statistics.
The follow-up results from the study hospital showed that five patient safety culture dimensions exhibited a significantly (p < 0.05) positive change in positive response rates over the 3-year period. Furthermore, nine out of twelve patient safety culture dimensions at the study hospital showed a significant improvement in mean score. At the control hospital, only the dimension of frequency of reporting events showed a significantly positive change (p < 0.05) in mean score.
This research shows that the studied patient safety intervention (implementation of the patient safety incident reporting system) significantly influences patient safety culture.
Nursing managers should utilize a variety of patient safety interventions to improve patient safety and focus on leveraging information from patient safety incidents to advance patient safety culture.
评估为期 3 年的患者安全干预措施（具体为实施患者安全事件报告系统）如何影响患者安全文化。
积极的患者安全文化可提高医疗质量和患者安全性。然而，护理管理人员需要能够帮助他们发展和评估患者安全文化的工具。
使用医院患者安全文化调查（Hospital Survey on Patient Safety Culture）在两个时期（基线和随访）评估芬兰两家法医精神病院（研究组和对照组）的患者安全文化。使用 Z 分数和 T 检验统计数据进行分析。
研究组医院的随访结果表明，5 个患者安全文化维度在 3 年期间积极响应率呈显著（p<0.05）正向变化。此外，研究组医院的 12 个患者安全文化维度中有 9 个在平均得分方面显示出显著改善。对照组医院中，只有事件报告频率维度的平均得分显示出显著的正向变化（p<0.05）。
这项研究表明，所研究的患者安全干预措施（实施患者安全事件报告系统）显著影响患者安全文化。
护理管理人员应利用各种患者安全干预措施来提高患者安全性，并注重利用患者安全事件的信息来推进患者安全文化。
