Recognition of Health Care Provider's Patient Safety Culture in Kurdistan/Iraq

Ismail Ahmed Ali, Shewaz Abdalrahman Hussein, Shelan Omar Ali, Fuaad Azad Muhamad
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Abstract

Globally, improving and promoting patient safety has been given a lot of attention in order to develop the standard of healthcare and conserve the clients from trauma. The study purposed to recognize the perception of the Health Care Provider (HCP) regarding patient safety culture. A quantitative design /descriptive method were carried out during the period from 12th to 24thJanuary 2019 at Rania teaching hospital. Data was collected through a hard copy self-managed survey form using the Hospital Survey of Patient Safety Culture (HSOPSC).Data was entered to SPSS and analyzed using descriptive and inferential statistics. The final study sample included 130 cases (74.5% response rate). The total mean positive answer rate for the hospital survey dimensions was (42.28%) with arrange of (79% - 4.6%). Approximately 60% of HCP was perceived patient safety culture practice negatively. However, only two dimensions from 11 had reached positive response rate by respondents which include teamwork within Units (76.2%) and organizational learning (79%) dimensions, while the lowest dimension’s positivity include the frequency of reporting errors (4.6%). Furthermore, more than half (64.6%) of the study sample estimated the grade of patient safety as agreeable level, also only two of the respondents (1.5%) rated excellent grades for patient safety in their hospitals. Almost, three fourths (75.8%) of study sample were reported that no events had reports in the previous year. Statistically, the results of the study showed a significant association among {educational status (p=0.006), work areas (p=0.014), staff position (P=0.001), and mean score of HSOPSC. These findings demonstrated that attitudes and perception of HCP about patient safety culture is extremely low. Fundamentally, there is a necessity for systemic change at the level of health organization and continuous training course for HCP to improve patient safety culture are strongly recommended.
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库尔德斯坦/伊拉克卫生保健提供者患者安全文化的认可
在全球范围内,改善和促进患者安全受到了广泛关注,以制定医疗保健标准,保护客户免受创伤。本研究旨在了解医疗保健提供者(HCP)对患者安全文化的看法。2019年1月12日至24日,在拉尼亚教学医院进行了定量设计/描述性方法。数据是通过使用医院患者安全文化调查(HSOPSC)的硬拷贝自我管理调查表收集的。将数据输入SPSS,并使用描述性和推断统计学进行分析。最终研究样本包括130例病例(74.5%的应答率)。医院调查维度的总平均阳性回答率为(42.28%),安排为(79%-4.6%)。大约60%的HCP对患者安全文化实践持负面看法。然而,11个维度中只有两个维度的受访者达到了积极响应率,其中包括单位内的团队合作(76.2%)和组织学习(79%)维度,而最低维度的积极性包括报告错误的频率(4.6%)。此外,超过一半(64.6%)的研究样本估计患者安全等级为可接受水平,此外,只有两名受访者(1.5%)在医院的患者安全方面取得了优异成绩。近四分之三(75.8%)的研究样本报告称,前一年没有事件报告。在统计学上,研究结果显示,受教育程度(p=0.006)、工作领域(p=0.014)、员工职位(p=0.001)之间存在显著关联和HSOPSC的平均得分。这些发现表明HCP对患者安全文化的态度和认知极低。从根本上说,有必要在卫生组织层面进行系统性变革,并强烈建议HCP参加持续培训课程,以改善患者安全文化。
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发文量
16
审稿时长
12 weeks
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