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塑造安全:揭示沙特阿拉伯医疗保健领域事件报告与安全文化的动态

Shaping Safety: Unveiling the Dynamics of Incident Reporting and Safety Culture in Saudi Arabian Healthcare.

作者信息

Alsahli Hind, Al-Wathinani Ahmed M, Althobaiti Tariq A, Abahussain Mohammed A, Goniewicz Krzysztof

机构信息

Pharmaceutical Care Division, King Faisal Specialist Hospital and Research Center, Riyadh, 11211, Saudi Arabia.

Department of Emergency Medical Services, Prince Sultan bin Abdulaziz College for Emergency Medical Services, King Saud University, Riyadh, 11451, Saudi Arabia.

出版信息

J Multidiscip Healthc. 2024 Aug 6;17:3775-3789. doi: 10.2147/JMDH.S458718. eCollection 2024.

DOI:10.2147/JMDH.S458718
PMID:39131745
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11316481/
Abstract

BACKGROUND

Patient safety is a critical concern in healthcare systems worldwide. Understanding the interplay between safety culture and incident reporting behaviors among healthcare professionals is essential for improving patient outcomes.

OBJECTIVE

To examine the perception of patient safety culture among healthcare professionals in Saudi Arabia and its impact on their attitudes toward incident reporting, considering variables such as level of care, ownership, and professional background.

METHODS

A cross-sectional survey was distributed both online and onsite to 453 healthcare professionals, with 402 completing it. The survey assessed various dimensions of safety culture and incident reporting behaviors. Statistical analysis included correlation matrices, regression models, and comparative assessments across different types of hospital settings.

RESULTS

The study revealed significant associations between perceived safety culture and incident reporting behaviors (p < 0.01). Specifically, management (B = 0.64, p < 0.01), working conditions (r = 0.51, p < 0.01), and job satisfaction (r = 0.52, p < 0.01) were identified as crucial for improvement. The study highlighted the importance of fostering a blame-free culture and establishing clear reporting guidelines to enhance reporting frequencies.

CONCLUSION

Enhancing the perception of patient safety within healthcare settings positively influences the likelihood of incident reporting. Strategic interventions aimed at improving safety culture could significantly advance patient care quality.

摘要

背景

患者安全是全球医疗系统的关键关注点。了解医疗保健专业人员的安全文化与事件报告行为之间的相互作用对于改善患者治疗结果至关重要。

目的

考虑护理水平、所属机构和专业背景等变量,研究沙特阿拉伯医疗保健专业人员对患者安全文化的认知及其对他们对事件报告态度的影响。

方法

通过在线和现场方式向453名医疗保健专业人员发放了横断面调查问卷,402人完成了调查。该调查评估了安全文化和事件报告行为的各个维度。统计分析包括相关矩阵、回归模型以及不同类型医院环境的比较评估。

结果

研究揭示了感知到的安全文化与事件报告行为之间存在显著关联(p < 0.01)。具体而言,管理(B = 0.64,p < 0.01)、工作条件(r = 0.51,p < 0.01)和工作满意度(r = 0.52,p < 0.01)被确定为改善的关键因素。该研究强调了营造无责备文化和建立明确报告指南以提高报告频率的重要性。

结论

提高医疗机构内对患者安全的认知会对事件报告的可能性产生积极影响。旨在改善安全文化的战略干预措施可以显著提高患者护理质量。

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