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沙特阿拉伯东部省份一家教学医院的患者安全文化:评估与改进机会

Patient Safety Culture in a Teaching Hospital in Eastern Province of Saudi Arabia: Assessment and Opportunities for Improvement.

作者信息

Aljaffary Afnan, Al Yaqoub Fatemah, Al Madani Reem, Aldossary Hessa, Alumran Arwa

机构信息

Department of Health Information Management & Technology; College of Public Health; Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.

Risk Management and Patient Safety Department; Dammam Medical Complex, Dammam, Saudi Arabia.

出版信息

Risk Manag Healthc Policy. 2021 Sep 13;14:3783-3795. doi: 10.2147/RMHP.S313368. eCollection 2021.

Abstract

PURPOSE

The objective of the present study is to explore the perceptions of patient safety culture (PSC) among King Fahd University Hospital's (KFUH) employees and to develop recommendations to overcome the factors that impede the integration of PSC in the study setting.

METHODS

This is a cross-sectional study that assessed the level of PSC at KFUH. This study used the Hospital Survey on Patient Safety Culture tool from all KFUH healthcare workers (n=900) in 2018.

FINDINGS

The response rate of the study was 67%. Findings show that KFUH excelled in three PSC composites: continuous organizational learning, feedback and communication about error, and frequency of events reported. In contrast, staffing, teamwork within units, and non-punitive response to error yielded low composite scores.

ORIGINALITY/VALUE: The strength of the present study was the use of a valid questionnaire that has been used widely in the literature with a large sample size, which yielded valid results. It is, to our knowledge, the first research study that analyzes health workers' perceptions on patient safety culture in a teaching hospital in Eastern Province in KSA and compares it with Agency for Healthcare Research and Quality (AHRQ) and Saudi Hospital Survey on Patient Safety Culture (HSPSC). Results from the study highlight the need to employ an adequate number of workers, implement continuous patient safety training programs, and adopt safety programs and policies.

摘要

目的

本研究的目的是探讨法赫德国王大学医院(KFUH)员工对患者安全文化(PSC)的认知,并提出建议以克服阻碍在本研究环境中整合PSC的因素。

方法

这是一项横断面研究,评估了KFUH的PSC水平。本研究于2018年使用医院患者安全文化调查工具对KFUH所有医护人员(n = 900)进行了调查。

结果

研究的回复率为67%。结果显示,KFUH在三个PSC综合指标方面表现出色:持续组织学习、关于错误的反馈与沟通以及报告事件的频率。相比之下,人员配备、科室内部团队合作以及对错误的非惩罚性回应的综合得分较低。

原创性/价值:本研究的优势在于使用了一份在文献中广泛使用的有效问卷,样本量较大,得出了有效的结果。据我们所知,这是第一项分析沙特阿拉伯东部省一家教学医院医护人员对患者安全文化认知并将其与医疗保健研究与质量局(AHRQ)及沙特医院患者安全文化调查(HSPSC)进行比较的研究。研究结果强调需要雇佣足够数量的员工,实施持续的患者安全培训项目,并采用安全项目和政策。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/146a/8447945/54d707c7c789/RMHP-14-3783-g0001.jpg

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