Tevžič Špela, Poplas-Susič Antonija, Klemenc-Ketiš Zalika
Community Health Centre Ljubljana-Vič, Šestova ulica 10, 1000 Ljubljana, Slovenia.
Community Health Centre Ljubljana, Metelkova 9, 1000 Ljubljana, Slovenia.
Zdr Varst. 2021 Jun 28;60(3):145-151. doi: 10.2478/sjph-2021-0021. eCollection 2021 Sep.
Patient safety is one of the key aspects of healthcare quality and a serious global public health concern. Patient safety culture is a part of the patient safety concept. In Slovenia, primary care is easily accessible, and for medical care, it serves as a gatekeeper to hospital care. For several years, the quality and safety at the primary healthcare level have been the focus of several studies. The present study aimed to assess patient safety culture among all employees of the Community Health Centre Ljubljana.
We conducted a cross-sectional study in 2017 using the Slovene version of "Medical Office Survey on Patient Safety Culture" from the Agency for Healthcare Research and Quality. Mean percent positive scores on all items in each composite were calculated according to a user guide.
The final sample contained 1021 participants (67.8% response rate), of which 909 (89.0%) were women. The mean age of the sample was 43.0±11.0 years. The dimensions most highly rated by the respondents were: teamwork and patient care tracking/follow-up. The lowest scores came from leadership support for patients' safety and work pressure and pace.
Patient safety culture in the Community Health Centre Ljubljana is high, but there are certain areas of patient safety that need to be evaluated further and improved. Our study revealed differences between professions, indicating that a customized approach per profession group might contribute to the successful implementation of safety strategies. Patient safety culture should be studied at national levels.
患者安全是医疗质量的关键方面之一,也是全球严重的公共卫生问题。患者安全文化是患者安全概念的一部分。在斯洛文尼亚,初级保健易于获得,并且在医疗保健方面,它是医院护理的守门人。几年来,初级医疗保健层面的质量和安全一直是多项研究的重点。本研究旨在评估卢布尔雅那社区健康中心所有员工的患者安全文化。
我们于2017年使用美国医疗保健研究与质量局的《患者安全文化医疗办公室调查》斯洛文尼亚语版本进行了一项横断面研究。根据用户指南计算每个综合指标中所有项目的平均积极得分百分比。
最终样本包含1021名参与者(回复率为67.8%),其中909名(89.0%)为女性。样本的平均年龄为43.0±11.0岁。受访者评价最高的维度是:团队合作和患者护理跟踪/随访。得分最低的是对患者安全的领导支持以及工作压力和节奏。
卢布尔雅那社区健康中心的患者安全文化水平较高,但在患者安全的某些方面仍需进一步评估和改进。我们的研究揭示了不同职业之间的差异,表明针对每个职业群体采取定制方法可能有助于安全策略的成功实施。应在国家层面研究患者安全文化。