阿曼马斯喀特初级卫生保健中的患者安全文化评估：基于问卷的调查。
Assessment of patient safety culture in primary health care in Muscat, Oman: a questionnaire -based survey.
机构信息
Discipline of Physiotherapy, Faculty of Health Sciences, The University of Sydney, Sydney, Australia.
Ministry of Health, P.O.Box, 626, PC 117, Wadi Al Kabir, Muscat, Oman.
出版信息
BMC Fam Pract. 2019 Apr 5;20(1):50. doi: 10.1186/s12875-019-0937-4.
BACKGROUND
Patient safety is a universal issue which affects countries at all stages of health system development. Patient safety research in primary care reveals that globally millions of people suffer disabilities, injuries, or death due to unsafe medical practices. This study aims to explore the understanding of frontline primary health care professionals regarding patient safety culture in health care facilities in Oman.
METHODS
A questionnaire-based survey was conducted using a validated Hospital Survey of Patient Safety Culture tool. Invitations were sent to all 198 health professionals from each occupational category from each primary care center in Muscat, Oman.
RESULTS
The total number of respondents was 186 participants out of 198 (response rate: 94%). Overall, the staff had a strong sense of teamwork within the units (85%), they reported organization learning for continuous improvement (84%) and teamwork across the units (82%). However, the four dimensions which received the lowest scores were related to communication problems between the staff (23%), non-punitive response to errors (27%), frequency of event reporting (40%), and errors occurring when transferring patients to higher levels of health care during handoffs and transitions (46%).
CONCLUSIONS
Overall, the participants rated patient safety in the primary health care setting as excellent or very good and the perception of patient safety was moderately positive. The core areas of strength were teamwork within the units with positivity and organization learning and continuous improvement. The weaknesses were non-punitive response to errors, inadequate staffing and hand offs and transition. The results of this study will provide policy makers and health care professionals with a detailed understanding of the current patient safety culture in primary care in Muscat, Oman. The results will be used by the Ministry of Health to inform policy and strategies to strengthen patient safety within primary health care in Oman.
背景
患者安全是一个普遍存在的问题，影响着处于卫生系统发展各个阶段的国家。初级保健中的患者安全研究表明，全球有数百万人因不安全的医疗实践而遭受残疾、伤害或死亡。本研究旨在探讨阿曼初级保健一线专业人员对医疗保健设施中患者安全文化的理解。
方法
使用经过验证的医院患者安全文化调查工具，进行基于问卷的调查。邀请来自阿曼马斯喀特每个初级保健中心的每个职业类别的 198 名卫生专业人员参加。
结果
共有 186 名受访者参加了 198 名受访者的调查（应答率：94%）。总体而言，工作人员在单位内部具有强烈的团队合作意识（85%），他们报告说组织有学习能力以持续改进（84%），并且单位之间也有团队合作（82%）。然而，得分最低的四个维度与员工之间的沟通问题（23%）、对错误的非惩罚性反应（27%）、事件报告频率（40%）以及在交接和过渡期间将患者转移到更高水平的医疗保健时发生的错误（46%）有关。
结论
总体而言，参与者对初级保健环境中的患者安全评价为优秀或非常好，对患者安全的看法较为积极。核心优势领域是单位内部的团队合作，以及积极的组织学习和持续改进。弱点是非惩罚性对错误的反应、人手不足以及交接和过渡。本研究的结果将为政策制定者和医疗保健专业人员提供对阿曼马斯喀特初级保健中当前患者安全文化的详细了解。结果将由卫生部用于为阿曼初级保健中的患者安全提供信息，以制定政策和战略。
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