在沙特阿拉伯的一家中等护理医院评估患者安全文化,使用患者安全文化工具的医院调查:一项跨部门研究
Mohammad Irfan1, Najla Al Motairi2, Muna Bhutta3
1Emergency Medicine, Mid Yorkshire Teaching NHS Trust, Wakefield, GBR.
Cureus
|January 9, 2026
概括
这项研究评估了沙特一家医院的患者安全文化,发现团队合作力强,但人员和沟通能力薄弱. 改善这些领域是提高患者安全和医疗保健结果的关键.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 组织文化 组织文化
背景情况:
- 积极的患者安全文化 (PSC) 对于减少伤害和改善医疗保健结果至关重要.
- 低收入和中等收入国家往往缺乏结构化的PSC测量,这阻碍了识别系统性弱点.
- 这项研究探讨了沙特二级护理医院对PSC的低估,其特点是事件报告不足和人员配置政策薄弱.
研究的目的:
- 评估沙特阿拉伯利雅得一家二级医疗公共医院的患者安全文化.
- 通过使用医院患者安全文化调查 (HSOPSC) 工具,确定强大安全文化的优点,弱点和预测因素.
- 建立未来患者安全倡议和质量改善工作的基准.
主要方法:
- 在一家200张床位的中等医院使用双语HSOPSC版本1.0进行了横截面研究.
- 电子调查对所有符合条件的员工进行了管理,达到57%的响应率 (共1084人中613人).
- 统计分析包括描述性统计,克伦巴赫的α,斯皮尔曼相关性,多重线性回归和克鲁斯卡尔-瓦利斯测试.
主要成果:
- 单位内部的团队合作 (85%) 和报告事件的频率 (85%) 获得了最高的分数.
- 工作人员水平 (43%) 和沟通开放性 (57%) 被确定为需要改进的领域.
- 对错误的非惩罚性反应,事件报告频率和沟通开放性是整体PSC的重要预测因素. 护士报告得分低于医生.
结论:
- 医院表现出强大的内部协作,但需要加强人员配置和沟通透明度.
- 调查结果为有针对性的质量改善举措提供了基础,这些举措与国家医疗保健目标保持一致.
- 解决发现的弱点对于培养更强大的患者安全文化至关重要.
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