Gleeson L L, McNamara J, Donworth E, Crowley E K, Delaney A, Sahm L, O'Mahony D, Russell N E, Byrne S
School of Pharmacy, University College Cork, Ireland.
Cork University Hospital, Ireland.
Explor Res Clin Soc Pharm. 2023 Jan 20;9:100228. doi: 10.1016/j.rcsop.2023.100228. eCollection 2023 Mar.
Patient safety culture, the way in which members of a healthcare organisation think about and prioritise safety, has been linked to positive patient outcomes. The aim of this study was to use the Safety Attitudes Questionnaire (SAQ) to measure the safety culture in a variety of healthcare settings located in the province of Munster of Ireland.
The SAQ was applied in six healthcare settings in the Munster province of Ireland between December 2017 and November 2019. The attitudes of healthcare staff towards six domains of safety culture were assessed over 32 Likert-scaled items. The mean, median, interquartile range and percent positive scores for each domain were calculated for the study population, and subgroup analyses were carried out between study sites and professions. Results for each setting were compared to international benchmarking data. Chi-Squared tests were used to determine whether study site or profession were related to domain scores. Reliability analysis was carried out using Cronbach's alpha.
Study participants ( = 1749) comprising doctors, pharmacists, nurses, and healthcare assistants, were found to have positive attitudes towards patient safety culture but scored poorly in the domains and . Perceptions of safety culture were more positive in smaller healthcare settings, and amongst nurses and HCAs. The survey had acceptable internal consistency.
In this study investigating the safety culture of healthcare organisations in Ireland, study participants had generally positive attitudes towards the safety culture in their organisation, however working conditions, perceptions of management, and medication incident reporting were identified as key areas for improvement.
患者安全文化，即医疗保健机构成员思考安全问题并确定安全优先级的方式，与积极的患者治疗结果相关联。本研究的目的是使用安全态度问卷（SAQ）来衡量爱尔兰芒斯特省各种医疗环境中的安全文化。
2017年12月至2019年11月期间，SAQ在爱尔兰芒斯特省的六个医疗环境中应用。通过32个李克特量表项目评估了医护人员对安全文化六个领域的态度。计算了研究人群每个领域的均值、中位数、四分位间距和阳性得分百分比，并在研究地点和职业之间进行了亚组分析。将每个环境的结果与国际基准数据进行比较。使用卡方检验来确定研究地点或职业是否与领域得分相关。使用克朗巴哈系数进行可靠性分析。
研究参与者（n = 1749）包括医生、药剂师、护士和医疗保健助理，他们对患者安全文化持积极态度，但在[具体领域1]和[具体领域2]领域得分较低。在较小的医疗环境中以及护士和医疗保健助理中，对安全文化的认知更为积极。该调查具有可接受的内部一致性。
在这项对爱尔兰医疗保健机构安全文化的研究中，研究参与者对其所在机构的安全文化总体上持积极态度，然而工作条件、对管理层的认知以及用药事件报告被确定为需要改进的关键领域。
