肿瘤治疗中心安全管理与患者安全文化的关系

A. Maher, M. Monfared, M. Jafari
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引用次数: 4

摘要

简介:加强患者安全是任何卫生系统遵循的原则目标,有必要持续监测护士的患者安全文化。由卫生服务提供者采用的患者安全文化被描述为接受和维护患者安全作为整个组织的共同优先事项和价值观,或者代表提供卫生服务中心的工作人员在其行为中表达的与患者安全相关的共同价值观、信仰、观念和态度。鉴于这一课题的重要性,本研究调查了癌症治疗中心安全管理与患者安全文化关系中的安全管理状况,从而研究医院人员的患者安全文化。方法:本研究计划是一项应用研究,遵循描述性目标,通过相关方法。本研究使用的问卷的效度是根据5位专家的意见来确定的,结果在观察者中的信度是通过Cronbach 's alpha为0.86来确认的。统计人群包括克尔曼沙阿市的三家培训医院,在2017-2018年期间对这些医院的管理、手术室、护士、安全和事故委员会等不同部门进行了调查。结果:基于本研究结果,患者安全文化与安全管理变量(手术室标准评估、安全与事故委员会、住院病房评估、医院认证评分、医院结构和医院组织)之间存在显著的直接关系,医院入住率与患者安全文化之间存在负相关关系。结论:管理层制定安全政策,对员工进行良好培训,员工持续报告,有利于提高整个医院的安全水平,从而增加医院的安全文化和生产力,同时降低潜在的安全风险。因此,为了提高患者安全,有必要对安全文化的评估进行充分的投资。
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The relationship between safety management and patient safety culture in Cancer Treatment Centers
Introduction: Enhancement of patient safety represents a principle objective followed by any health system, and it is necessary to consistently monitor the patient safety culture among nurses. Adopted by health service providers, the patient safety culture is described as the acceptance and maintenance of the patient safety as a common priority and value across the organization, or representation of the common patient safety-related values, beliefs, perceptions, and attitudes among the staff at centers providing health services, as expressed in their behaviors. Given the importance of this topic, the present research investigates the state of safety management in the relationship between safety management and patient safety culture in Cancer Treatment Centers, so as to study the patient safety culture among the personnel at the hospitals. Methods: The present research plan is an applied study following a descriptive aim via a correlational methodology. Validity of the questionnaires used in this research was confirmed based on opinions of five experts, with the reliability of the results among the observers confirmed by a Cronbach’s alpha of 0.86. The statistical population included three training hospitals in the city of Kermanshah, where different departments such as management, operating rooms, nurses, and the committee of safety and incidents were investigated during 2017-2018. Results: Based on the findings of the present research, significant direct relationships were observed between the patient safety culture and safety management variables (e.g., operating room standards assessment, the committee of safety and incidents, hospitalization wards assessment, hospital accreditation score, hospital structure, and hospital organization), and an inverse relationship was obtained between the hospital occupancy rate and the patient safety culture. Conclusion: Determination of safety policies by the management, keeping the personnel well-trained, and continuous reports by the personnel tend to enhance the level of safety across a hospital, thereby adding to the safety culture and productivity of the hospital while reducing potential safety risks. Accordingly, in order to enhance patient safety, it is necessary to adequately invest on the assessment of the safety culture.
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