Tran Thi Nhi Ha, Pham Quoc Thanh, Tran Lien Huong, Vu Tuan Anh, Nguyen Minh Tu, Pham Hung Tien, Le Thanh Tong, Bui Thi Thu Ha
Management Board, Department of Health, Hanoi, Vietnam.
Center of Digital Health, Hanoi University of Public Health, Hanoi, Vietnam.
Risk Manag Healthc Policy. 2022 Sep 6;15:1695-1704. doi: 10.2147/RMHP.S373249. eCollection 2022.
Patient safety culture (PSC) is a vital component in ensuring high-quality and safe patient care. Assessment of physicians' and nurses' perceptions of existing hospital PSC is the first step to promoting PSC. This paper is aimed to assess physicians' and nurses' perceptions of PSC in 5 public general hospitals in Hanoi, Vietnam.
This cross-sectional study surveyed 410 physicians and 824 nurses utilizing the validated Hospital Survey on Patient Safety Culture in an online format.
The composite positive physician's perception of PSC varied from 47.8 to 89.6% with the lowest composite score of patient safety for "staffing" (47.8%) and the highest composite score for "teamwork within units" (89.6%). The composite positive responses for perception among nurses varied from 51.3 to 94.2% with the lowest composite score of patient safety for "staffing" (51.3%) and the highest composite score for "teamwork within units" (94.2%).
The mean scores for "supervisor/manager expectations"; "staffing", "management support for patient safety", "teamwork across units", "handoffs and transitions" among nurses were significantly higher than that among physicians (p<0.05). About two-thirds of physicians and nurses reported no event in the past 12 months (62.8 and 71.7%, respectively). The nurses reported significantly higher patient grades (every good and excellent) than physicians (75% vs 67.1%, p <0.001). Hospitals could develop and implement intervention programs to improve patient safety, including providing interventions on teamwork and communication, encouraging staff to notify incidents, and avoiding punitive responses.
患者安全文化（PSC）是确保高质量和安全患者护理的重要组成部分。评估医生和护士对现有医院患者安全文化的看法是促进患者安全文化的第一步。本文旨在评估越南河内5家公立综合医院的医生和护士对患者安全文化的看法。
这项横断面研究以在线形式对410名医生和824名护士进行了调查，采用了经过验证的《医院患者安全文化调查》。
医生对患者安全文化的综合积极看法从47.8%到89.6%不等，其中“人员配备”方面的患者安全综合得分最低（47.8%），“科室内部团队合作”方面的综合得分最高（89.6%）。护士对患者安全文化看法的综合积极回应从51.3%到94.2%不等，其中“人员配备”方面的患者安全综合得分最低（51.3%），“科室内部团队合作”方面的综合得分最高（94.2%）。
护士在“主管/经理期望”“人员配备”“对患者安全的管理支持"“跨科室团队合作”“交接与过渡”方面的平均得分显著高于医生（p<0.05）。约三分之二的医生和护士报告在过去12个月内未发生任何事件（分别为62.8%和71.7%）。护士报告的患者评分显著高于医生（“非常好”和“优秀”，75%对67.1%，p<0.001）。医院可以制定并实施干预计划以提高患者安全，包括提供团队合作与沟通方面的干预措施、鼓励员工报告事件以及避免惩罚性回应。
