Jabarkhil Abdul Qahir, Tabatabaee Seyed Saeed, Jamali Jamshid, Moghri Javad
Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
MoPH, Estiqlal Hospital, Kabul, Afghanistan.
Risk Manag Healthc Policy. 2021 Mar 19;14:1211-1217. doi: 10.2147/RMHP.S292193. eCollection 2021.
The first step to improve the safety of patients in hospitals is to evaluate safety culture. Therefore, the patient safety culture in doctors, nurses and midwives should be reviewed regularly. The aim of the study was to determine the current state of patient safety culture among physicians, nurses and midwives at the Estiqlal Hospital in Kabul to promote an effective safety culture.
This cross-sectional descriptive study was conducted from January to March 2020 among doctors, nurses, and midwives at the Esteqlal Specialized Hospital in Kabul. In that study, the data were collected through a survey of hospital. Among the 267 employees invited to participate, 267 (100%) completed the surveys. Descriptive statistics have been used to adjust frequency distribution tables and inferential statistics to identify differences in variable relationships. The independent sample T-test and one-way 'ANOVA ' were used to check variations between groups, and SPSS version 25 was used for data analysis.
The findings of this study have shown that organizational learning and non-punitive response to errors have had the highest and lowest scores. Eight out of 12 dimensions of patient safety culture scored lower. Four dimensions of patient safety culture scored the highest. Overall, patient safety culture dimensions were low and poor (44%). This means the patient safety culture at the hospital was poor.
The safety culture of the patients at the hospital was inappropriate, particularly in the eight dimensions of the patient safety culture, immediate intervention was necessary. The study emphasizes the creation of a desirable organizational climate, the need for staff involvement in various levels of decision-making, the creation of a culture of error reporting and recognizing the causing factors, and promoting a patient safety culture.
提高医院患者安全的第一步是评估安全文化。因此，应定期审视医生、护士和助产士的患者安全文化。本研究的目的是确定喀布尔埃斯蒂格拉尔医院医生、护士和助产士的患者安全文化现状，以促进有效的安全文化。
本横断面描述性研究于2020年1月至3月在喀布尔埃斯蒂格拉尔专科医院的医生、护士和助产士中进行。在该研究中，数据通过对医院的调查收集。在邀请参与的267名员工中，267人（100%）完成了调查。描述性统计用于整理频率分布表，推断性统计用于识别变量关系的差异。独立样本T检验和单因素方差分析用于检查组间差异，数据分析使用SPSS 25版。
本研究结果表明，组织学习和对错误的非惩罚性反应得分最高和最低。患者安全文化的12个维度中有8个得分较低。患者安全文化的4个维度得分最高。总体而言，患者安全文化维度较低且较差（44%）。这意味着医院的患者安全文化较差。
医院患者的安全文化不合适，特别是在患者安全文化的8个维度方面，需要立即采取干预措施。该研究强调营造理想的组织氛围，员工参与各级决策的必要性，建立错误报告文化并识别成因，以及促进患者安全文化。
