The Norwegian Directorate of Health, Oslo, Norway.
Health Services Research Unit, Akershus University Hospital, Lørenskog, Norway.
PLoS One. 2019 Apr 10;14(4):e0214914. doi: 10.1371/journal.pone.0214914. eCollection 2019.
Measuring staff perceptions with safety climate surveys is a promising approach to addressing patient safety. Variation in safety climate scores between work sites may predict variability in risk related to tasks, work environment, staff behavior, and patient outcomes. Safety climate measurements may identify considerable variation in staff perceptions across work sites.
To explore variation in staff perceptions of patient safety climate across work sites in Norwegian General Practitioner (GP) practices and Out-of-hours clinics.
The Norwegian Safety Attitudes QuestionnaireAmbulatory Version (SAQ A) was used to survey staff perceptions of patient safety climate across a sample of GP practices and Out-of-hours clinics in Norway. We invited 510 primary health care providers to fill out the questionnaire anonymously online in October and November 2012. Work sites were 17 regular GP practices in Sogn & Fjordane County, and seven Out-of-hours clinics, of which six were designated as "Watchtower Clinics". Intra-class correlation coefficients were calculated to identify what proportion of the variation in the five factor scores (Teamwork climate, Safety climate, Job satisfaction, Perceptions of management, and Working conditions) were at work site-level.
Of the 510 invited health care providers, 266 (52%) answered the questionnaire. Staff perceptions varied considerably at the work site level: intra-class correlation coefficients (ICCs) were 12.3% or higher for all factors except for Job satisfaction-the highest ICC value was for Perceptions of management: 15.5%.
Although most of the score variation was at the individual level, there was considerable response clustering within the GP practices and OOH clinics. This implies that the Norwegian SAQ A is able to identify GP practices and OOH clinics with high and low patient safety climate scores. Patient safety climate scores produced by the Norwegian version of the SAQ A may, thus, guide improvement and learning efforts to work sites according to the level of their scores.
使用安全氛围调查来衡量员工的看法是解决患者安全问题的一种很有前途的方法。工作场所之间安全氛围得分的差异可能预示着与任务、工作环境、员工行为和患者结果相关的风险的可变性。安全氛围测量可能会发现员工对工作场所的看法存在相当大的差异。
探讨挪威全科医生（GP）实践和非工作时间诊所工作人员对患者安全氛围的看法在工作场所的差异。
使用挪威安全态度问卷门诊版（SAQ A）对挪威的一组全科医生实践和非工作时间诊所的工作人员对患者安全氛围的看法进行了调查。我们邀请了 510 名初级保健提供者于 2012 年 10 月至 11 月期间匿名在线填写问卷。工作地点是松恩-菲尤拉讷县的 17 个常规全科医生诊所和 7 个非工作时间诊所，其中 6 个被指定为“瞭望塔诊所”。计算了组内相关系数，以确定五个因素得分（团队合作氛围、安全氛围、工作满意度、对管理的看法和工作条件）的变化中有多少是在工作场所层面上。
在 510 名受邀的医疗保健提供者中，有 266 人（52%）回答了问卷。工作人员的看法在工作场所层面上有很大的差异：除工作满意度外，所有因素的组内相关系数（ICC）均为 12.3%或更高-管理看法的最高 ICC 值为 15.5%。
尽管大部分评分差异是在个体水平上，但全科医生诊所和非工作时间诊所内存在相当大的反应聚类。这意味着挪威的 SAQ A 能够识别出具有高低患者安全氛围评分的全科医生诊所和非工作时间诊所。因此，挪威版 SAQ A 产生的患者安全氛围评分可以根据其评分水平指导对工作场所的改进和学习努力。
