Albaalharith Taghreed, A'aqoulah Ashraf
Department of Health Systems Management, College of Public Health and Health Informatics, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
King Abdullah International Medical Research Centre, Riyadh, Saudi Arabia.
J Multidiscip Healthc. 2023 Feb 2;16:321-332. doi: 10.2147/JMDH.S376623. eCollection 2023.
Patient safety is a major concern at all levels of the healthcare system, with the primary objective of reducing patient hazards when providing care. The Kingdom of Saudi Arabia has made great progress in improving the health of its citizens over the last few decades, particularly in terms of patient safety. Currently, many health-care institutions throughout the world are interested in implementing a safety culture to lower the risk of harm and the number of accidents associated with routine treatment.
This study aims to assess the level of awareness concerning patient safety culture among health-care providers in hospitals in Riyadh, Saudi Arabia.
This is a descriptive cross-sectional quantitative study that used the Agency for Healthcare Research and Quality's patient safety culture questionnaire. The survey was conducted online and was completed by 204 health-care employees from three distinct hospital settings in Riyadh, Saudi Arabia: government, quasi-government, and private hospitals.
The results showed a low level of patient safety culture awareness among health-care workers in the 10 dimensions of patient safety. The mean score was 2.24 out of 5 and the standard deviation was 0.50. Participants assigned the highest mean scores to Organisational Learning and Continuous Improvement (Mean: 2.48, Standard deviation: 0.66), Communication About Error (Mean: 2.44, Standard deviation: 0.70), and Teamwork (Mean: 2.40, Standard deviation: 0.64). Interestingly, the scores for hospital supervisor and managerial positions are significant compared to other clinical positions (-value = 0.047). Moreover, the patient safety rating and the number of reported events were significantly related to the overall level of awareness (-value <0.001), (-value = 0.042), respectively.
In Riyadh hospitals, overall patient safety awareness is low, necessitating adequate attention and effective solutions such as encouraging reporting errors, implementing safety huddles and leadership walkarounds, and establishing a patient safety culture. Health-care executives and managers are encouraged to develop safety cultures that promote trust and justice, allowing employees to be candid about their mistakes and failings without retaliation. Moreover, this safety culture should be defined by the following qualities: a just culture, a learning culture, and a reporting culture.
患者安全是医疗系统各级的主要关注点，其主要目标是在提供护理时减少患者面临的风险。在过去几十年里，沙特阿拉伯王国在改善公民健康方面取得了巨大进展，特别是在患者安全方面。目前，世界各地的许多医疗机构都对实施安全文化以降低伤害风险和与常规治疗相关的事故数量感兴趣。
本研究旨在评估沙特阿拉伯利雅得市医院医护人员对患者安全文化的认知水平。
这是一项描述性横断面定量研究，使用了医疗保健研究与质量局的患者安全文化问卷。该调查通过在线方式进行，由来自沙特阿拉伯利雅得市三种不同医院环境（政府医院、准政府医院和私立医院）的204名医护人员完成。
结果显示，医护人员在患者安全的10个维度上对患者安全文化的认知水平较低。平均得分为2.24（满分5分），标准差为0.50。参与者对组织学习与持续改进（平均得分：2.48，标准差：0.66）、错误沟通（平均得分：2.44，标准差：0.70）和团队合作（平均得分：2.40，标准差：0.64）的平均得分最高。有趣的是，医院主管和管理职位的得分与其他临床职位相比具有显著性（P值 = 0.047）。此外，患者安全评级和报告事件的数量分别与总体认知水平显著相关（P值 <0.001），（P值 = 0.042）。
在利雅得的医院中，整体患者安全意识较低，需要给予充分关注并采取有效解决方案，如鼓励报告错误、实施安全碰头会和领导巡查，以及建立患者安全文化。鼓励医疗保健管理人员和经理发展促进信任和公正的安全文化，使员工能够坦诚地说出自己的错误和失误而不会受到报复。此外，这种安全文化应具备以下特质：公正文化、学习文化和报告文化。
