Department of Social Medicine and Organization of Health Care, Andrija Štampar School of Public Health, School of Medicine, University of Zagreb, 10000 Zagreb, Croatia.
Department of Environmental and Occupational Health and Sports Medicine, Andrija Štampar School of Public Health, School of Medicine, University of Zagreb, 10000 Zagreb, Croatia.
Int J Environ Res Public Health. 2022 Feb 16;19(4):2237. doi: 10.3390/ijerph19042237.
The COVID-19 pandemic has put inordinate pressure on frontline healthcare workers (HCWs) and hospitals. HCWs are under chronic emotional stress, affected by burnout, moral distress and interpersonal issues with peers or supervisors during the pandemic. All of these can lead to lower levels of patient safety. The goal of this study was to examine patient safety culture values in a COVID-19 frontline hospital. Patient safety represents action, while patient safety culture represents the beliefs, values and norms of an organization that support and promote patient safety. Patient safety culture is a prerequisite for patient safety. A cross-sectional study on healthcare workers (228, response rate of 81.43%) at a COVID-19 frontline hospital was conducted using the Hospital Survey on Patient Safety Culture (HOSPSC), which had PSC dimensions, single question dimensions and comments. Our research revealed that, during the COVID-19 pandemic, a number of patient safety issues have been identified: low communication openness and current punitive response to errors, which might have incapacitated HCWs in the reporting of adverse events. Although participants expressed high supervisor/management expectations, actual support from the supervisor/management tier was low. Poor teamwork across units was identified as another issue, as well as low staffing. The infrastructure was identified as a potential new PSC dimension. There was a lack of support from supervisors/managers, while HCWs need their supervisors to be available; to be visible on the front line and to create an environment of trust, psychological safety and empowerment.
新冠疫情给一线医护人员（HCWs）和医院带来了巨大压力。在疫情期间，医护人员长期承受着情绪压力，容易出现倦怠、道德困境以及与同事或上级的人际问题，所有这些都可能导致患者安全水平下降。本研究旨在调查一家新冠疫情定点医院的患者安全文化价值观。患者安全代表行动，而患者安全文化代表支持和促进患者安全的组织的信念、价值观和规范。患者安全文化是患者安全的前提。采用患者安全文化调查问卷（HOSPSC）对一家新冠疫情定点医院的医护人员（228 名，回应率 81.43%）进行了横断面研究，该问卷包含 PSC 维度、单一问题维度和评论。我们的研究表明，在新冠疫情期间，发现了一些患者安全问题：沟通开放度低，对错误的现行惩罚性反应，这可能使医护人员在报告不良事件时感到力不从心。尽管参与者对主管/管理层有很高的期望，但实际得到的支持却很少。跨单位的团队合作不良以及人手不足是另一个问题。基础设施被确定为一个潜在的新 PSC 维度。缺乏主管/经理的支持，而医护人员需要他们的主管能够随时提供支持；在前线可见，并营造信任、心理安全和赋权的环境。
