公立综合医院患者安全文化:文献综述

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引用次数: 0

摘要

背景:医疗保健中可预防不良事件的全球流行是一个重大问题,每年约有4270万起事故导致2300万伤残调整生命年损失。安全文化在减轻或加剧医院内这些事件方面发挥着至关重要的作用。目的:了解各国公立综合医院患者安全文化评估结果及患者安全文化相关特征。方法:本研究于2021年4月至7月期间进行,采用文献综述方法,通过PubMed、Scopus、ScienceDirect、Google Scholar和Garuda数据库进行研究检索,发现2011-2021年期间的17篇论文使用医院患者安全文化调查(HSOPSC)作为评估患者安全文化的工具。结果:本研究发现公立综合医院的患者安全文化仍然较低,医院员工的安全意识有待提高。讨论:“医院单位的团队合作”得到了最有利的答复,而“对错误的非惩罚性反应”得到了最不积极的答复。大部分员工对本单位患者安全的评价为“优秀/非常好/可接受”,并且在前一年没有报告任何事故。研究还发现,工作人员和医院的特点与患者安全文化有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
PATIENT SAFETY CULTURE IN PUBLIC GENERAL HOSPITALS: LITERATURE REVIEW
Background: The global prevalence of preventable adverse events in healthcare is a significant problem, with approximately 42.7 million annual accidents resulting in 23 million DALYs lost. Safety culture plays a crucial role in mitigating or exacerbating these incidents within hospitals. Objectives: To identify the results of the assessment of patient safety culture and the characteristics associated with patient safety culture in public general hospitals in various countries. Methods: This study was conducted between April-July 2021 utilizing a literature review approach using study searches through PubMed, Scopus, ScienceDirect, Google Scholar, and Garuda databases, and it discovered 17 papers from 2011-2021 that used the Hospital Survey on Patient Safety Culture (HSOPSC) as an instrument to assess patient safety culture. Results: This study found that patient safety culture at public general hospitals remains low, and hospital staff perception of safety has to be improved. Discussions: “Teamwork in hospital units” receives the most favorable replies, while “non-punitive response to error” receives the least positive responses. The majority of the employees assessed patient safety in their work unit as “excellent/very good/acceptable” and reported no incidents in the previous year. Staff and hospital characteristics were also found to be related to patient safety culture.
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