Kazamer Andrea, Ilinca Radu, Nitu Anda, Iuonuț Ana-Maria, Bubenek-Turconi Serban-Ion, Sendlhofer Gerald, Greabu Maria, Stanescu-Spinu Iulia-Ioana, Miricescu Daniela, Ganea Ionela, Ionescu Daniela
CREST Association, 48 Alexandru Odobescu Street, 440069 Satu Mare, Romania.
Department of Anaesthesia and Intensive Care I, Iuliu Hatieganu University of Medicine and Pharmacy, 8 Victor Babes Street, 400347 Cluj-Napoca, Romania.
Healthcare (Basel). 2023 Feb 2;11(3):429. doi: 10.3390/healthcare11030429.
Due to the nature of their activity, anesthesia and critical care have generally well-developed patient safety cultures, which are linked to a greater level of incident awareness and reporting during clinical activity. In order to determine the status quo and identify and adopt, where appropriate, techniques and instruments for further improving patient safety, it is necessary to evaluate the culture and barriers in these departments. The main objective of our study was to assess patient safety culture in Romanian anesthesia and intensive care departments (AICDs), to pinpoint the areas that may need improvement, and to examine the correlation between the prevalence of adverse event reporting, as well as the level of self-reported patient safety culture. To determine how anesthesia and intensive care department staff perceived patient safety, the Hospital Survey on Patient Safety Culture (HSOPSC) was used in a translated Romanian version. In total, 1200 employees from 36 anesthesiology and intensive care departments across 32 hospitals in Romania received the questionnaire, representing 42.66% of all anesthesia and intensive care departments in the country. In 7 of the 12 examined dimensions, significant differences between tertiary and secondary hospitals were observed. Among all dimensions, the highest positive score was for "organizational learning and continuous development". In general, our study revealed a positive view on patient safety in anesthesia and intensive care departments. Further studies are required to determine a threshold of the level of culture development.
由于麻醉和重症监护工作的性质,它们通常拥有发展良好的患者安全文化,这与临床活动中更高的事件意识和报告水平相关联。为了确定现状,并在适当情况下识别和采用进一步提高患者安全的技术和工具,有必要评估这些科室的文化和障碍。我们研究的主要目的是评估罗马尼亚麻醉和重症监护科室(AICDs)的患者安全文化,找出可能需要改进的领域,并研究不良事件报告发生率与自我报告的患者安全文化水平之间的相关性。为了确定麻醉和重症监护科室工作人员对患者安全的看法,采用了罗马尼亚语翻译版的《医院患者安全文化调查》(HSOPSC)。罗马尼亚32家医院的36个麻醉和重症监护科室的1200名员工收到了问卷,占该国所有麻醉和重症监护科室的42.66%。在12个被检查的维度中,观察到三级医院和二级医院之间存在显著差异。在所有维度中,“组织学习与持续发展”的得分最高。总体而言,我们的研究揭示了对麻醉和重症监护科室患者安全的积极看法。需要进一步研究来确定文化发展水平的阈值。