Ricardo Santa, Diego Morante, Thomas Tegethoff, Luis Berggrun
{"title":"病人护理中的组织学习、质量和安全文化：哥伦比亚与沙特阿拉伯王国的比较","authors":"Ricardo Santa, Diego Morante, Thomas Tegethoff, Luis Berggrun","doi":"10.1108/ijqss-07-2023-0103","DOIUrl":null,"url":null,"abstract":"<h3>Purpose</h3>\n<p>The purpose of this study is to determine the interactions between factors such as organizational learning, feedback about errors, punitive response to errors and communication quality in hospitals in the Kingdom of Saudi Arabia and Colombia when adopting a culture of quality and safety (CQS) in patient care.</p><!--/ Abstract__block -->\n<h3>Design/methodology/approach</h3>\n<p>Based on a literature review, a self-administered questionnaire was developed and used to collect data from 417 Saudi respondents affiliated with hospitals and 483 Colombian respondents at the beginning of the pandemic. Structural equation modeling is used in this study to test the hypothesized relationships.</p><!--/ Abstract__block -->\n<h3>Findings</h3>\n<p>The results show a solid and significant predictive relationship between feedback about errors and the CQS in both countries (Colombia: <em>b</em> = 0.55, <em>p</em> < 0.001; KSA: <em>b</em> = 0.44, <em>p</em> < 0.001), but a very low and insignificant predictive relationship between no punitive response to errors and CQS (Colombia: <em>b</em> = –0.02, <em>p</em> > 0.05; KSA: <em>b</em> = 0.05, <em>p</em> > 0.05).</p><!--/ Abstract__block -->\n<h3>Practical implications</h3>\n<p>This study demonstrates the importance of organizational learning in fostering a CQS in the health-care sector in the Kingdom of Saudi Arabia and Colombia. Recent unprecedented policy actions motivated by the COVID-19 pandemic, such as social distancing, lockdowns and safety practices enforcement, have further highlighted this concern. Moreover, attention to the dimensions addressed in this study is required for accreditation purposes in organizations seeking to promote a CQS. Overall, this research highlights the vital role of safety and quality practices among health-care organizations, which has significant policy implications, especially in the current period of high uncertainty.</p><!--/ Abstract__block -->\n<h3>Originality/value</h3>\n<p>This paper contributes to the theory and practice in the health-care sector by extending the current knowledge of the impact of the quality of communications, non-punitive response to errors and feedback about errors in organizational learning and safety culture, and by presenting a novel, quantitative methodology seldom used for these topics.</p><!--/ Abstract__block -->","PeriodicalId":14403,"journal":{"name":"International Journal of Quality and Service Sciences","volume":"207 1","pages":""},"PeriodicalIF":3.4000,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Organizational learning, quality and safety culture in patient care: comparing Colombia and the Kingdom of Saudi Arabia\",\"authors\":\"Ricardo Santa, Diego Morante, Thomas Tegethoff, Luis Berggrun\",\"doi\":\"10.1108/ijqss-07-2023-0103\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<h3>Purpose</h3>\\n<p>The purpose of this study is to determine the interactions between factors such as organizational learning, feedback about errors, punitive response to errors and communication quality in hospitals in the Kingdom of Saudi Arabia and Colombia when adopting a culture of quality and safety (CQS) in patient care.</p><!--/ Abstract__block -->\\n<h3>Design/methodology/approach</h3>\\n<p>Based on a literature review, a self-administered questionnaire was developed and used to collect data from 417 Saudi respondents affiliated with hospitals and 483 Colombian respondents at the beginning of the pandemic. Structural equation modeling is used in this study to test the hypothesized relationships.</p><!--/ Abstract__block -->\\n<h3>Findings</h3>\\n<p>The results show a solid and significant predictive relationship between feedback about errors and the CQS in both countries (Colombia: <em>b</em> = 0.55, <em>p</em> < 0.001; KSA: <em>b</em> = 0.44, <em>p</em> < 0.001), but a very low and insignificant predictive relationship between no punitive response to errors and CQS (Colombia: <em>b</em> = –0.02, <em>p</em> > 0.05; KSA: <em>b</em> = 0.05, <em>p</em> > 0.05).</p><!--/ Abstract__block -->\\n<h3>Practical implications</h3>\\n<p>This study demonstrates the importance of organizational learning in fostering a CQS in the health-care sector in the Kingdom of Saudi Arabia and Colombia. Recent unprecedented policy actions motivated by the COVID-19 pandemic, such as social distancing, lockdowns and safety practices enforcement, have further highlighted this concern. 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Organizational learning, quality and safety culture in patient care: comparing Colombia and the Kingdom of Saudi Arabia
Purpose
The purpose of this study is to determine the interactions between factors such as organizational learning, feedback about errors, punitive response to errors and communication quality in hospitals in the Kingdom of Saudi Arabia and Colombia when adopting a culture of quality and safety (CQS) in patient care.
Design/methodology/approach
Based on a literature review, a self-administered questionnaire was developed and used to collect data from 417 Saudi respondents affiliated with hospitals and 483 Colombian respondents at the beginning of the pandemic. Structural equation modeling is used in this study to test the hypothesized relationships.
Findings
The results show a solid and significant predictive relationship between feedback about errors and the CQS in both countries (Colombia: b = 0.55, p < 0.001; KSA: b = 0.44, p < 0.001), but a very low and insignificant predictive relationship between no punitive response to errors and CQS (Colombia: b = –0.02, p > 0.05; KSA: b = 0.05, p > 0.05).
Practical implications
This study demonstrates the importance of organizational learning in fostering a CQS in the health-care sector in the Kingdom of Saudi Arabia and Colombia. Recent unprecedented policy actions motivated by the COVID-19 pandemic, such as social distancing, lockdowns and safety practices enforcement, have further highlighted this concern. Moreover, attention to the dimensions addressed in this study is required for accreditation purposes in organizations seeking to promote a CQS. Overall, this research highlights the vital role of safety and quality practices among health-care organizations, which has significant policy implications, especially in the current period of high uncertainty.
Originality/value
This paper contributes to the theory and practice in the health-care sector by extending the current knowledge of the impact of the quality of communications, non-punitive response to errors and feedback about errors in organizational learning and safety culture, and by presenting a novel, quantitative methodology seldom used for these topics.
期刊介绍：
The International Journal of Quality and Service Sciences seeks to explore various aspects of quality and services as closely interrelated phenomena in the context of ongoing transformation processes of organizations and societies. Thus the journals'' scope is not limited to micro perspectives of organizational and management related issues. It seeks further to explore patterns, behaviors, processes, mechanisms, principles and consequences related to quality and services in a broad range of organizational and social/global processes. These processes embrace cultural, economic, social, environmental and even global dimensions in order to better understand the past, to better diagnose the current situations and hence to design better the future. The journal seeks to embrace a holistic view of quality and service sector management and explicitly promotes the emerging field of ‘quality and service sciences’.The journal is an open forum and one of the main channels for communication of multi- and inter- disciplinary research and practices.
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