评估 18 家突尼斯成人重症监护病房的患者安全文化及其相关因素：一项多中心研究。

Assessing patient safety culture in 18 Tunisian adult intensive care units and determination of its associated factors: A multi-center study.

机构信息

University of Sousse, Faculty of Medicine of Sousse, Tunisia; University of Sousse, Higher School of Health Sciences and Techniques of Sousse, Tunisia; Laboratory of research LR12ES03, Tunisia.

出版信息

J Crit Care. 2020 Apr;56:208-214. doi: 10.1016/j.jcrc.2020.01.001. Epub 2020 Jan 8.

DOI:10.1016/j.jcrc.2020.01.001

PMID:31952015

Abstract

PURPOSE

This study aimed to assess patient safety culture (PSC) in intensive care units (ICUs) and to determine the factors affecting it.

MATERIALS AND METHODS

This is a cross-sectional study, conducted from October to November 2017 among professionals practicing in the ICUs of the Tunisian center. After obtaining institutional ethics committee's approval and administrative authorizations, an anonymous paper-based questionnaire was distributed to the participants after obtaining their consent to take part in the study. The measuring instrument used is the French validated version of the "Hospital Survey on Patient Safety Culture" questionnaire.

RESULTS

A total of 402 professionals, from 18 ICUs and 10 hospitals, participated in the study with a participation rate of 82.37%. All dimensions were to be improved. The most developed dimension was teamwork within the unit (47.87%) and the least developed dimension was the non-punitive response to error (18.6%). Seven dimensions were significantly more developed in private institutions than in public ones. Results also show that when workload is reduced, the PSC was significantly increased.

CONCLUSION

This study has shown that the PSC in ICUs needs improvement and provided a baseline results to get a clearer vision of the aspects of security that require special attention.

摘要

目的

本研究旨在评估重症监护病房（ICU）的患者安全文化（PSC），并确定影响其的因素。

材料和方法

这是一项横断面研究，于 2017 年 10 月至 11 月在突尼斯中心的 ICU 中进行。在获得机构伦理委员会的批准和行政授权后，在获得参与者同意参与研究后，向他们分发了基于纸张的匿名问卷。使用的测量工具是经过法国验证的“医院患者安全文化调查”问卷的法语版本。

结果

共有 402 名来自 18 个 ICU 和 10 家医院的专业人员参加了这项研究，参与率为 82.37%。所有维度都有待改进。发展得最好的维度是单位内的团队合作（47.87%），发展得最差的维度是非惩罚性应对错误（18.6%）。在私立机构中，有七个维度明显比公立机构更发达。结果还表明，当工作量减少时，PSC 显著增加。