乌克兰卫生保健设施中的患者安全文化(信息1)

A. Yavorovsky, M. Rygan, A. N. Naumenko, Yu.N. Skaletsky, S. Gichka, A. Ivanko, R. Brukhno, A. Gorval
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引用次数: 1

摘要

使用美国卫生保健研究和质量机构(AHRQ)的问卷,分析了乌克兰各卫生保健机构(HCF)工作人员的患者安全(PS)文化特征。此外,还分析了PS文化的特征,这取决于受访者的服务年限和对医疗或护理人员的隶属关系,以及治疗或手术活动的概况。研究发现,国内HCF员工PS文化的弱点是“对错误的反应”(不到30%的积极回应),这表明乌克兰HCF中指责文化(不公平文化)的优势,导致员工害怕披露错误,从而缺乏从这些错误中学习的机会。在大多数比较组中,“人员配置”被认为是PS文化的一个弱点(少于50%的积极回应)。值得注意的是BP文化的一个特点,即“错误信息的频率”(少于70%的积极回应)。所有被调查者的Cronbach’s alpha系数在0.62 ~ 0.78之间,表明研究结果的真实性。
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 health care facilities in Ukraine (message 1)
Using a questionnaire from the United States Agency for Research and Quality in Health Care (AHRQ), the characteristics of patient safety (PS) culture in the staff of various health care facilities (HCF) in Ukraine were analyzed. In addition, the characteristics of PS culture were analyzed depending on the length of service and affiliation of the respondents to the medical or nursing staff, as well as the profile of therapeutic or surgical activities. It is established that the weakness of the PS culture of the staff of domestic HCF is "Reaction to mistakes" (less than 30% of positive responses), which indicates the predominance of culture of accusation (unfair culture) in Ukrainian HCF and as a consequence fears of the staff to disclose mistakes and accordingly, the lack of opportunity to learn from these mistakes.“Staffing” is identified as a weakness of the PS culture (less than 50% of positive responses) in most comparison groups. It is worth noting such a characteristic of the culture of BP, as the "Frequency of error messages" (less than 70% of positive responses). The Cronbach's alpha coefficient in all groups of respondents ranged from 0.62 to 0.78, which indicates the truth of the results of the study.
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