From the Department of Health Management, Faculty of Economics and Administrative Sciences, Hacettepe University, Ankara.
Denizli Public Hospital, Denizli.
J Patient Saf. 2023 Oct 1;19(7):439-446. doi: 10.1097/PTS.0000000000001152.
This study mainly examines the effects of patient safety culture dimensions on 4 outcomes (self-reported errors, witnessing errors, incident reporting, and patient safety grade).
The data were collected using the Turkish version of the Safety Attitudes Questionnaire, which consists of 6 dimensions (teamwork climate, safety climate, job satisfaction, stress recognition, perceptions of management, and working conditions). Of 1679 personnel working in 6 hospitals in Ankara, 860 were randomly selected. The data were analyzed using descriptive statistics, the Spearman correlation coefficient, and binary logistic regression analyses.
The response rate was 62.7%. When the overall patient safety culture score increased by 1 point; the probability of witnessing an error was 2 times lower (P < 0.001), the probability of incident reporting was 4.22 times higher (P < 0.001), and the probability of assessing the patient safety grade as excellent was 29.86 times higher (P < 0.001). The teamwork climate was negatively related to making errors and witnessing errors (P < 0.001). The safety climate and working conditions were positively related to incident reporting and patient safety grade (P < 0.001). Job satisfaction was negatively related to incident reporting (P < 0.001). Perceptions of management were positively related to making errors and patient safety grade (P < 0.001).
The patient safety culture scores were positively correlated with incident reporting and patient safety grade but negatively correlated with the occurrence of errors. Each dimension of the patient safety culture, except stress recognition, affected different outcomes. Therefore, managers should focus on different dimensions of patient safety culture to improve different outcomes.
本研究主要考察患者安全文化维度对 4 项结果（自我报告的错误、目睹错误、事件报告和患者安全等级）的影响。
数据是使用土耳其版安全态度问卷收集的，该问卷由 6 个维度（团队合作氛围、安全氛围、工作满意度、压力识别、管理层认知和工作条件）组成。在安卡拉的 6 家医院工作的 1679 名人员中，随机抽取了 860 名。采用描述性统计、Spearman 相关系数和二元逻辑回归分析对数据进行分析。
应答率为 62.7%。当总体患者安全文化评分提高 1 分时；目睹错误的概率降低 2 倍（P < 0.001），事件报告的概率增加 4.22 倍（P < 0.001），评估患者安全等级为优秀的概率增加 29.86 倍（P < 0.001）。团队合作氛围与犯错和目睹错误呈负相关（P < 0.001）。安全氛围和工作条件与事件报告和患者安全等级呈正相关（P < 0.001）。工作满意度与事件报告呈负相关（P < 0.001）。管理层认知与犯错和患者安全等级呈正相关（P < 0.001）。
患者安全文化评分与事件报告和患者安全等级呈正相关，但与错误的发生呈负相关。患者安全文化的每个维度，除压力识别外，都影响着不同的结果。因此，管理者应该关注患者安全文化的不同维度，以改善不同的结果。
