Institute of Applied Psychology, Faculty of Social and Economic Sciences, Comenius University, Bratislava, Slovakia.
Department of Health Psychology and Research Methodology, Faculty of Medicine, University of Pavol Jozef Šafárik, Košice, Slovakia.
Int J Public Health. 2024 Jul 26;69:1607273. doi: 10.3389/ijph.2024.1607273. eCollection 2024.
Patient safety incidents (PSIs) are common in healthcare. Open communication facilitated by psychological safety in healthcare could contribute to the prevention of PSIs and enhance patient safety. The aim of the study was to explore medical professionals' responses to a PSI in relation to psychological safety in Slovak healthcare. Sixteen individual semi-structured interviews with Slovak medical professionals were performed. Obtained qualitative data were transcribed verbatim and analysed using the conventional content analysis method and the consensual qualitative research method. We identified eight responses to a PSI from medical professionals themselves as well as their colleagues, many of which were active and with regard to ensuring patient safety (e.g., notification), but some of them were passive and ultimately threatening patients' safety (e.g., silence). Five superiors' responses to the PSI were identified, both positive (e.g., supportive) and negative (e.g., exaggerated, sharp). Medical professionals' responses to a PSI are diverse, indicating a potential for enhancing psychological safety in healthcare.
患者安全事件（PSIs）在医疗保健中很常见。医疗保健中的开放沟通，通过心理安全感来促进 PSIs 的预防，并提高患者安全性。本研究的目的是探讨斯洛伐克医疗保健专业人员对 PSI 的反应与心理安全感之间的关系。对 16 名斯洛伐克医疗专业人员进行了 16 次单独的半结构化访谈。获得的定性数据逐字转录，并使用常规内容分析方法和共识定性研究方法进行分析。我们从医疗专业人员自身及其同事那里确定了对 PSI 的八种反应，其中许多是积极的，并且是为了确保患者安全（例如通知），但也有一些是被动的，最终威胁到患者的安全（例如沉默）。还确定了五位上级对 PSI 的五种反应，既有积极的（例如支持），也有消极的（例如夸大、尖锐）。医疗专业人员对 PSI 的反应是多种多样的，这表明有潜力增强医疗保健中的心理安全感。
