摩洛哥医疗保健专业人员对患者安全文化的认知：公立医院的横断面研究。

Patient Safety Culture Perception among Moroccan Healthcare professionals: Cross-Sectional Study in Public Hospitals.

机构信息

Hassan First University of Settat, Higher Institute of Health Sciences, Laboratory of Health Sciences and Technologies.

出版信息

Ethiop J Health Sci. 2023 Mar;33(2):273-280. doi: 10.4314/ejhs.v33i2.12.

DOI:10.4314/ejhs.v33i2.12

PMID:37484177

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10358384/

Abstract

BACKGROUND

There is a growing recognition of the need to establish a culture that focuses on patient safety in order to reduce the number of adverse events associated with care and improve health-care quality in Morocco. The aim of this research is to analyze results of the perception of health professionals working in two university hospitals concerning the concept of patient safety culture in Morocco.

METHODS

This study evaluated the healthcare professional's perceptions of patient safety culture in two selected university hospitals centers in Morocco by using the validated French version of the Hospital Survey on Patient Safety Culture questionnaire (HSOPSC). A cross-sectional descriptive study was conducted in 2021. We randomly selected 10 health units of each hospital, to include up to 10 health professionals from each unit, regardless of length of experience. This self-administered questionnaire was distributed to a population of 204 Moroccan healthcare professionals who consisted predominately of available physicians and nurses across ten different health units.

RESULT

The overall grade of patient safety was deemed "good" for 52 % of the staff, "very good" for 17%, against "failing" for 2%. Out of the 10 dimensions explored. The "Teamwork within units" dimension had the highest score with 80%. The dimensions with the lowest positive response rates were "Staffing (23%)", "non-punitive response to error" (31%) and "Teamwork across units' (47%). Seven dimensions were considered underdeveloped and three were undeveloped.

CONCLUSION

This work provides a better understanding of healthcare professional perception towards patient safety.

摘要

背景

为了减少与医疗相关的不良事件数量并提高摩洛哥的医疗质量，人们越来越认识到需要建立一种关注患者安全的文化。本研究旨在分析在摩洛哥两所大学医院工作的卫生专业人员对患者安全文化概念的看法。

方法

本研究通过使用经过验证的法语版医院患者安全文化调查工具（HSOPSC）评估了摩洛哥两所选定大学医院中心卫生专业人员对患者安全文化的看法。这是一项 2021 年进行的横断面描述性研究。我们随机选择了每家医院的 10 个卫生单位，每个单位纳入最多 10 名卫生专业人员，无论其工作经验长短。该自我管理问卷分发给 204 名摩洛哥卫生保健专业人员，这些人员主要由来自十个不同卫生单位的在职医生和护士组成。

结果

52%的员工认为患者安全总体等级“良好”，17%的员工认为“非常好”，而 2%的员工认为“不合格”。在所探讨的 10 个维度中，“单位内的团队合作”维度得分最高，为 80%。得分最低的积极反应维度是“人员配置（23%）”、“对错误的非惩罚性反应”（31%）和“跨单位的团队合作”（47%）。七个维度被认为不发达，三个维度未开发。