Abraham Veena, Meyer Johanna, Godman Brian, Helberg Elvera
Department of Pharmaceutical Sciences, School of Pharmacy, Sefako Makgatho Health Sciences University, Medunsa, South Africa.
Department of Public Health Pharmacy and Management, School of Pharmacy, Sefako Makgatho Health Sciences University, Medunsa, South Africa.
J Public Health Afr. 2023 Apr 28;14(5):2228. doi: 10.4081/jphia.2023.2228. eCollection 2023 Apr 30.
Patient safety research is scarce in developing countries. Estimates of patient harm due to healthcare processes in resource-poor settings are thought to be greater than those in developed countries. Ideally, errors in healthcare should be seen as opportunities to improve the future quality of care.
This study aimed to investigate patient safety culture within high-risk units of a tertiary hospital in South Africa.
A quantitative, descriptive, cross-sectional methodology, using a survey questionnaire that measured 10 safety dimensions and one outcome measure among clinical and nursing staff, was employed.
Two hundred participants completed the survey questionnaire. Areas of strength identified by the participants included organizational learning (91.09%), staff attitudes (88.83%), and perceptions of patient safety (76.65%). Dimensions that have potential for improvement included awareness and training (74.04%), litigation (73.53%), feedback and communication about errors (70.77%), non-punitive response to error reporting (51.01%), size and tertiary level of the hospital (53.76%), and infrastructure and resources (58.07%) The only dimension identified as weak was teamwork and staffing (43.72%). In terms of the patient safety grade, respondents graded their own units highly but graded the hospital as a whole as having a poor patient safety grade.
There are still significant gaps in the quality of care provided at this tertiary hospital. The current patient safety culture is perceived as punitive in nature with regard to reporting adverse events. It is advised that targeted patient safety improvements be made, followed by further investigation.
发展中国家的患者安全研究匮乏。据估计，资源匮乏地区因医疗过程导致的患者伤害比发达国家更为严重。理想情况下，医疗差错应被视为提升未来医疗质量的契机。
本研究旨在调查南非一家三级医院高危科室的患者安全文化。
采用定量、描述性横断面研究方法，使用一份调查问卷对临床和护理人员的10个安全维度及一项结果指标进行测量。
200名参与者完成了调查问卷。参与者确定的优势领域包括组织学习（91.09%）、员工态度（88.83%）和患者安全认知（76.65%）。有改进潜力的维度包括意识与培训（74.04%）、诉讼（73.53%）、差错反馈与沟通（70.77%）、对差错报告的非惩罚性回应（51.01%）、医院规模和三级医院级别（53.76%）以及基础设施与资源（58.07%）。唯一被确定为薄弱的维度是团队合作与人员配备（43.72%）。就患者安全等级而言，受访者对自己所在科室评价较高，但认为医院整体的患者安全等级较差。
这家三级医院提供的医疗服务质量仍存在显著差距。当前的患者安全文化在不良事件报告方面被认为具有惩罚性。建议针对性地改善患者安全，随后进行进一步调查。
