Department of Family Medicine, Faculty of Medicine, Zagazig University, Zagazig.
Afr J Prim Health Care Fam Med. 2022 Feb 24;14(1):e1-e7. doi: 10.4102/phcfm.v14i1.3307.
Patient safety (PS) has been identified as a significant healthcare challenge. A good safety attitude helps healthcare workers (HCWs) to decrease medical errors.
This study aimed to assess the PS attitude and identify its determinants among HCWs.
This study was conducted in Sharqia Governorate at different levels of health care.
This was a comparative cross-sectional study that involved240 HCWs selected after using a multistage cluster sampling technique from Sharqia Governorate.In ordertto assess the respondents' attitudes towards PS, the modified Chinese Safety Attitudes Questionnaire (CSAQ) was used.
The scale with the highest percentage of positive responses, on average, was safety climate (49.59%). The study found a statistically significant association between the level of health care and mean scores of 'teamwork climate, perception of management, job satisfaction, working conditions, and stress recognition' and the overall CSAQ score. In regression analysis, the highest degree of education and job type were significant predictors of PS attitude among the HCWs under study (p = 0.031 and 0.011, respectively).
According to the study's findings, PS is low among HCWs in both healthcare units and hospitals, with a significantly higher score among hospital workers than among primary care workers. All PS composites need improvement starting with regular assessment of PS culture along with continuous monitoring.
患者安全（PS）已被确定为医疗保健的重大挑战之一。良好的安全态度有助于医疗保健工作者（HCWs）减少医疗错误。
本研究旨在评估 HCWs 的 PS 态度并确定其决定因素。
本研究在不同医疗保健级别的沙迦酋长国进行。
这是一项比较性的横断面研究，涉及沙迦酋长国使用多级聚类抽样技术从不同级别卫生保健机构中选择的 240 名 HCWs。为了评估受访者对 PS 的态度，使用了改良的中国安全态度问卷（CSAQ）。
平均而言，具有最高百分比积极响应的量表是安全氛围（49.59%）。研究发现，医疗保健水平与“团队合作氛围、管理认知、工作满意度、工作条件和压力识别”以及 CSAQ 总分的平均分数之间存在统计学显著关联。在回归分析中，最高程度的教育和工作类型是研究中 HCWs PS 态度的重要预测因素（p=0.031 和 0.011，分别）。
根据研究结果，HCWs 在卫生保健单位和医院的 PS 水平均较低，医院工作人员的得分明显高于初级保健工作人员。所有 PS 综合指标都需要改进，首先要定期评估 PS 文化，同时进行持续监测。
