Department of pharmacy, National Institute of Neurology Mongi-Ben Hamida.
Department of Intensive Care, National Institute of Neurology Mongi-Ben Hamida.
Tunis Med. 2024 Sep 5;102(9):558-564. doi: 10.62438/tunismed.v102i9.4891.
Introduction-Aim: Assessment of patient safety culture is important for enhancing hospital service quality and clinical outcomes. This study aimed to evaluate the safety of patient culture among health professionals in a neurological institute, in order to identify areas of improvement. The second objective of our study was to determine the influence of the sociodemographic data of the participants on the awareness of patient safety.
A cross-sectional descriptive study was conducted among healthcare workers exercising at a neurological institution using a validated Hospital Survey of Patient Safety Culture questionnaire containing ten safety care dimensions.
A total of 123 responses to the questionnaire were analyzed, accounting for 34.5% of the total (Cronbach's alpha=0.677). Among the participants, 61.8% considered the level of awareness regarding patient safety to be acceptable. The dimensions considered as strengths were "Organizational learning and continuous improvement" with the highest positive response (60.3%) "Relationship patient-staff member" (58.9%) and "Teamwork within units" (58.9%). However, the dimensions considered as weaknesses were "Management support for patient safety" with 28.5% of positive responses and "Communication openness and non-punitive response to error" (40%).
Patient safety culture among healthcare professionals is at an average with "Organizational learning and continuous improvement" being a positive aspect. However, improvements should be made in all dimensions to enhance and promote patient safety within the institution.
目的：介绍-评估患者安全文化对于提高医院服务质量和临床结果至关重要。本研究旨在评估神经科医疗机构卫生专业人员的患者安全文化安全性，以确定需要改进的领域。我们研究的第二个目的是确定参与者的社会人口统计学数据对患者安全意识的影响。
方法：采用经过验证的医院患者安全文化调查问卷调查了一家神经科医疗机构的医护人员，该问卷包含十个安全护理维度。
结果：共分析了 123 份问卷的回复，占总人数的 34.5%（Cronbach's alpha=0.677）。在参与者中，61.8%认为患者安全意识水平可以接受。被认为是优势的维度是“组织学习和持续改进”，其正面反应最高（60.3%），其次是“医患关系”（58.9%）和“单位内团队合作”（58.9%）。然而，被认为是劣势的维度是“管理层对患者安全的支持”，正面反应率为 28.5%，以及“沟通开放和对错误不采取惩罚性措施”（40%）。
结论：医护人员的患者安全文化处于中等水平，“组织学习和持续改进”是一个积极的方面。然而，应该在所有维度上进行改进，以增强和促进机构内的患者安全。
