比较医院领导层和前线工作人员对患者安全文化的看法:一个不平衡的小组研究
Jayson Forbes1, Alejandro Arrieta2
1Nova Southeastern University - Fort Lauderdale/Davie Campus, Fort Lauderdale, Florida, USA jf1530@nova.edu.
BMJ leader
|April 3, 2024
概括
医院领导和前线工作者对患者安全文化的看法不同. 领导者更积极地看待安全实践,突出了需要进一步调查以改善医疗保健质量的差距.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 组织行为 组织行为
背景情况:
- 患者安全文化对于医疗保健质量至关重要.
- 医院领导层和前线工作人员之间的看法差异可能会影响患者的安全.
- 了解这些差异可以为有针对性的干预提供信息.
研究的目的:
- 检查医院领导地位,前线工作者地位和美国医院的患者安全文化之间的关系.
- 识别和分析领导者和前线工作人员对患者安全文化的看法差异.
主要方法:
- 分析了来自1810家医院 (2008-2017) 的1,739,083名个人数据.
- 参与者分为领导 (6.63%) 和前线工作者 (44.42%) 组.
- 收集人口统计和医院相关信息,包括所有权,单位和职业.
主要成果:
- 领导者报告了与管理相关的患者安全项目 (例如,监督者对安全程序的认可) 的更积极的看法.
- 在所有测量项目中,在领导和前线组之间观察到统计学上显著的差异 (p<0.01).
- 对于管理相关的安全项目,领导者的平均响应在5分利克特级别上高出0.33点.
结论:
- 领导角色与患者安全文化认知之间存在着显著的关联.
- 前线工作者的地位也与患者安全文化的看法有关.
- 医院领导和前线工作人员对患者安全文化的看法显著分歧需要进一步研究.
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