国家医疗保健安全文化评估:三角测量法

O. Yavorovsky, O.M. Naumenko, Y. Skaletskyi, R. Brukhno, M. Rygan, O.M. Ivanko, P.M. Mykhaylenko, T.O. Zinchenko, N.V. Bankovska
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摘要

研究目的采用问卷调查、文件分析以及患者和医务人员安全状况分析等混合方法,评估国内医疗保健的安全文化。材料和方法。对乌克兰医疗保健安全文化的评估是根据国际原子能机构(IAEA)的方法进行的,特别是采用了一种三角测量法,包括问卷调查、文件分析以及对患者和医务人员安全状况的分析。我们对 1994 年至 2020 年医院环境中安全规定的监管框架,以及 2003 年至 2020 年患者和 2002 年至 2018 年医务人员的安全状况进行了分析和评估,这些构成了本研究所用材料的基础。此外,还通过问卷调查对安全文化进行了评估,来自不同医疗机构的 199 名医护人员参与了问卷调查。研究结果。研究结果表明,国内医疗机构的安全文化正处于形成的初期阶段,需要系统地加以改进。开发一套更全面的医疗领域安全文化评估方法是未来研究的一个重要且有前景的方向。我们的研究结果证实了采用三角测量法评估医疗机构卓越安全文化水平的有效性。结论加强国内医疗行业内已发现的安全文化薄弱环节,可以成为未来以改善和提高安全文化为基础创造安全医院环境战略的目标和基础。
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Safety culture assessment in national healthcare: a triangulation approach
The aim of the study. To evaluate the safety culture in domestic health care using a mixed approach, that is, using a questionnaire survey, document analysis, as well as an analysis of the state of safety of patients and medical personnel. Materials and methods. The evaluation of safety culture in Ukrainian healthcare has been carried out based on the methodology of the IAEA (International Atomic Energy Agency), specifically employing a triangulation approach involving questionnaire surveys, document analysis, as well as an analysis of patient and medical personnel safety conditions. Our analysis and assessment of the regulatory framework for safety provision in the hospital environment from 1994 to 2020, as well as the safety status of patients from 2003 to 2020 and medical personnel from 2002 to 2018, formed the basis of the material used in this study. Additionally, the evaluation of safety culture was conducted through a questionnaire survey involving 199 healthcare professionals from various healthcare facilities. Research results. The study revealed that safety culture in domestic healthcare facilities is at an early stage of formation and requires systematic improvement. Developing a more comprehensive methodology for assessing safety culture in the medical field is an important and promising direction for future research. The results of our study confirmed the effectiveness of employing a triangulation approach to assess the level of safety culture excellence in healthcare facilities. Conclusions. Strengthening the identified weaknesses in safety culture within the domestic medical industry can become the goal and foundation of a future strategy to create a safe hospital environment based on improving and enhancing safety culture.
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