在 COVID-19 危机期间，患者安全文化与护理人员报告接近错失事件的意图之间的关系。
The Relationship Between Patient Safety Culture and the Intentions of the Nursing Staff to Report a Near-Miss Event During the COVID-19 Crisis.
机构信息
Departments of Nursing (Dr Idilbi) and Health Systems Management (Dr Rashkovits), Max Stern Yezreel Valley Academic College, Emek Yezreel, Israel; Galilee Medical Center, Nahariya, Israel (Dr Idilbi and Mss Dokhi and Malka-Zeevi); and University of Haifa, Haifa, Israel (Ms Dokhi).
出版信息
J Nurs Care Qual. 2023;38(3):264-271. doi: 10.1097/NCQ.0000000000000695. Epub 2023 Mar 22.
BACKGROUND
Reporting a near-miss event has been associated with better patient safety culture.
PURPOSE
To examine the relationship between patient safety culture and nurses' intention to report a near-miss event during COVID-19, and factors predicting that intention.
METHODS
This mixed-methods study was conducted in a tertiary medical center during the fourth COVID-19 waves in 2020-2021 among 199 nurses working in COVID-19-dedicated departments.
RESULTS
Mean perception of patient safety culture was low overall. Although 77.4% of nurses intended to report a near-miss event, only 20.1% actually did. Five factors predicted nurses' intention to report a near-miss event; the model explains 20% of the variance. Poor departmental organization can adversely affect the intention to report a near-miss event.
CONCLUSIONS
Organizational learning, teamwork between hospital departments, transfers between departments, and departmental disorganization can affect intention to report a near-miss event and adversely affect patient safety culture during a health crisis.
背景
报告临近差错事件与更好的患者安全文化有关。
目的
检验 COVID-19 期间护士报告临近差错事件的意图与患者安全文化之间的关系，以及预测该意图的因素。
方法
这项混合方法研究于 2020-2021 年在一家三级医疗中心进行，涉及在 COVID-19 专用病房工作的 199 名护士，当时处于 COVID-19 第四波疫情期间。
结果
总体而言，对患者安全文化的感知程度较低。尽管 77.4%的护士打算报告临近差错事件，但实际上只有 20.1%的护士这样做。有五个因素预测了护士报告临近差错事件的意图；该模型解释了 20%的方差。部门组织不良会对报告临近差错事件的意愿产生不利影响。
结论
在卫生危机期间，组织学习、医院部门之间的团队合作、部门间的转科以及部门的混乱会影响报告临近差错事件的意愿，并对患者安全文化产生不利影响。
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