Aljaffary Afnan, Awad Albaalharith Maha, Alumran Arwa, Alrawiai Sumaiah, Hariri Bayan
Department of Health Information Management & Technology, College of Public Health, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Risk Manag Healthc Policy. 2022 Feb 15;15:229-241. doi: 10.2147/RMHP.S336117. eCollection 2022.
This study aimed to explore health-care workers' perceptions of patient safety culture (PSC) at primary health-care centers (PHCs) in the Eastern Province of Saudi Arabia and the factors that influence them. An additional aim was to identify the challenges of adopting PSCs in the PHCs of this region.
This is a cross-sectional study that adopted a PSC questionnaire from the Agency for Healthcare Research and Quality (AHRQ). The questionnaire was administered online and onsite targeted health-care workers at private, governmental, and quasi-governmental PHCs in the Eastern Province of Saudi Arabia, with 310 participants completing the survey.
The overall positive response rate of participants to the survey areas was 43.5% which is lower than the average for the AHRQ data in general. scored the highest positive response (68.8%) while and non-punitive scored the lowest at 10.6% and 30.7%, respectively. In addition, ANOVA and -tests were used to determine the bivariate associations for the parametric variables. The study reveals statistically significant differences between all demographic variables and overall PSC score, except by age.
The findings highlight a number of areas for improvement, particularly in relation to event reporting, non-punitive responses, and openness in communication. Consequently, establishing a safety culture in health-care organizations necessitates the elimination of three crucial elements regarding errors: blame, fear, and silence. Error reporting should not just be considered a means of learning from mistakes; it should also be considered the first step towards preventing injury and improving patient safety.
本研究旨在探讨沙特阿拉伯东部省初级卫生保健中心(PHC)医护人员对患者安全文化(PSC)的认知以及影响他们的因素。另一个目的是确定该地区初级卫生保健中心采用患者安全文化所面临的挑战。
这是一项横断面研究,采用了医疗保健研究与质量局(AHRQ)的患者安全文化调查问卷。该问卷通过在线和现场方式对沙特阿拉伯东部省私立、政府和准政府初级卫生保健中心的目标医护人员进行发放,共有310名参与者完成了调查。
参与者对调查领域的总体积极回应率为43.5%,低于AHRQ数据的总体平均水平。[具体某一项]的积极回应率最高(68.8%),而[具体某一项]和非惩罚性[具体某一项]的积极回应率最低,分别为10.6%和30.7%。此外,方差分析(ANOVA)和[具体统计检验名称]检验用于确定参数变量的双变量关联。研究表明,除年龄外,所有人口统计学变量与总体患者安全文化得分之间均存在统计学上的显著差异。
研究结果突出了一些需要改进的方面,特别是在事件报告、非惩罚性回应和沟通开放性方面。因此,在医疗保健组织中建立安全文化需要消除与错误相关的三个关键因素:指责、恐惧和沉默。错误报告不应仅仅被视为从错误中学习的一种方式;它还应被视为预防伤害和提高患者安全的第一步。