Department of Occupational Health Engineering, Faculty of Health, Mazandaran University of Medical Sciences, Sari, Iran.
Health Sciences Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran.
Work. 2023;74(4):1391-1399. doi: 10.3233/WOR-210086.
Job-related psychosocial factors have a substantial effect on the occurrence of adverse events among healthcare professionals.
An analytical and descriptive survey was conducted to evaluate the relationship between the occurrence of patient safety incidents and psychological factors.
The study sample consisted of 177 nurses who were asked about patient safety events over six months. Repetitive patient safety incidents were selected by examining medical records and interviewing specialists. Also, psychological factors were assessed using job content questionnaire (JCQ).
Repetitive patient safety incidents were involved medication administration error, pressure ulcer and skin-muscular injuries, patient falls, inability to CPR patients, blood transfusion reactions, and death due to human error. The findings showed that 92 participants (52%) had at least one case of patient safety incident. Among patient safety incidents, medication administration error and death due to human error had the highest and lowest repletion, respectively. Nurses training, job insecurity and peer support were significant predictors of different aspects of patient safety (p < 0.05).
Proper collaboration between new and experienced nurses can have a significant impact to reduce patient safety incidents. In addition, nursing training can be a good way to understand risk points in medical errors.
与工作相关的心理社会因素对医疗保健专业人员不良事件的发生有重大影响。
本分析性描述性调查旨在评估患者安全事件与心理因素之间的关系。
研究样本包括 177 名护士,他们在六个月内被问及患者安全事件。通过检查病历和采访专家,选择重复发生的患者安全事件。还使用工作内容问卷(JCQ)评估心理因素。
重复发生的患者安全事件涉及给药错误、压疮和皮肤肌肉损伤、患者跌倒、无法对患者进行心肺复苏、输血反应以及人为错误导致的死亡。研究结果表明,92 名参与者(52%)至少发生过一起患者安全事件。在患者安全事件中,给药错误和人为错误导致的死亡分别具有最高和最低的重复性。护士培训、工作不安全感和同伴支持是患者安全不同方面的显著预测因素(p<0.05)。
新护士和经验丰富的护士之间的适当合作可以显著减少患者安全事件。此外,护理培训可以是了解医疗错误中风险点的好方法。