Department of Health Management and Organization, School of Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam.
Department of Health Economics, School of Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam.
Front Public Health. 2023 Oct 26;11:1149667. doi: 10.3389/fpubh.2023.1149667. eCollection 2023.
Patient safety is a global challenge of preventing and mitigating medical errors which might harm patients during their course of treatment and care. This study was employed to contribute to the existing literature aimed to assess patient safety culture among health staff and to determine predictors of health staff perceptions of patient safety in hospitals in Vietnam.
A cross-sectional study was conducted in three hospitals of Vietnam with a total of 763 participants. This study used the Hospital Patient Safety Scale developed by the American Health and Quality Research Organization.
In general, 8 of 12 patient safety dimensions in two hospital; and 10 of 12 dimensions in a third hospital had average scores of 60% and above positive responses. The communication openness and organizational learning dimensions were found to be significant different when comparing hospitals. Regarding sample characteristics, department (subclinical department) and health staff positions (nurses/technicians, pharmacists) were significant predictors in the total model including three hospitals ( = 0.07).
This study reported that communication openness and organization learning are two aspects that need to be improved they are strongly related to patient safety culture and to knowledge exchange among health staff. It has been suggested that hospitals should deliver patient safety training courses and establish a supportive learning environment to improve these challenges.
患者安全是一个全球性的挑战,旨在预防和减轻医疗失误,这些失误可能在患者的治疗和护理过程中对患者造成伤害。本研究旨在为现有文献做出贡献,旨在评估卫生工作人员的患者安全文化,并确定越南医院卫生工作人员对患者安全看法的预测因素。
本研究在越南的三家医院进行了横断面研究,共有 763 名参与者。本研究使用了美国健康与质量研究组织开发的医院患者安全量表。
总体而言,两家医院的 12 个患者安全维度中的 8 个维度和第三家医院的 12 个维度中有 60%以上的积极反应平均得分在 60%以上。比较医院时,发现沟通开放性和组织学习维度存在显著差异。关于样本特征,部门(亚临床部门)和卫生工作人员职位(护士/技术员、药剂师)是包括三家医院在内的总模型中的显著预测因素( = 0.07)。
本研究报告称,沟通开放性和组织学习是需要改进的两个方面,它们与患者安全文化和卫生工作人员之间的知识交流密切相关。建议医院提供患者安全培训课程,并建立支持性的学习环境,以改善这些挑战。