Trends in the Staff's Perception of Patient Safety Culture in Romanian Hospitals.
| Autor: | Tereanu C; Department of Hygiene and Prevention, Agenzia di Tutela della Salute, Bergamo, Italy., Noll A; Master's candidate in Applied Statistics and Analytics, University of Kansas Medical Center, U.S.A., Herghea D; Service for Prevention and Control of Nosocomial Infections, 'Prof Dr. Ion Chiricuta' Cancer Hospital, Cluj Napoca, Romania., Malancea RI; Orthopedics and Trauma Unit, 'Mavromati' County Emergency Hospital of Botosani, Romania., Tinca A; Pediatrics Unit, 'Mavromati' Emergency Hospital of Botosani, Romania., Eclemea I; Quality Management Department Chief, 'Elias' Hospital, Bucharest, Romania., Rasnoveanu D; County Emergency Hospital of Braila, Romania., Ghelase MS; Public Health and Healthcare Management Department; University of Medicine and Pharmacy of Craiova, Romania., Smith TR; Pediatrics, University of Kansas Medical Center, U.S.A., Heddings AA; Orthopedic Surgery, University of Kansas Medical Center, U.S.A. |
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| Jazyk: | angličtina |
| Zdroj: | Current health sciences journal [Curr Health Sci J] 2020 Jul-Sep; Vol. 46 (3), pp. 236-243. Date of Electronic Publication: 2020 Sep 30. |
| DOI: | 10.12865/CHSJ.46.03.04 |
| Abstrakt: | Introduction: The IRIS-2 project (2019) expanded the application of the HSOPSC in Romanian hospitals, yet applied, for the first time in the country, in 2014 (IRIS-1). The aim is an update on patient safety culture for staff, by geographic region and overall, by year of survey. Materials and Methods: A cross-sectional study was carried out in voluntary staff in four hospitals in four regions (n. 1,121 staff) and compared with a previous study based on six hospitals in four regions (n. 969 staff). The instrument was the Romanian version of the HSOPSC with 31 items and 9 dimensions. Statistics to analyze trend were computed using "R". Results No significant differences between the proportion of positive response (PPRs) by dimension were observed in IRIS-2 with respect to IRIS-1, with two exceptions: significantly lower PPR for "teamwork across hospital units" (65% versus 73%) and significantly higher PPR for "frequency of events reporting" (65% versus 59%). Four dimensions were well developed and five dimensions needed to be improved. The poorest PPRs were for the "teamwork across hospital units", the "frequency of event reporting" and the "non punitive response to error" dimensions. Besides, one outcome indicator changed through time: the proportion of the staff who did not report any event was significantly lower (64% versus 73%) and the proportion of the staff who reported "1-2 events" was significantly higher (21% versus 15%). Conclusion: Despite some small progress related to the frequency of events reporting, there is room for further patient safety culture improvement. Competing Interests: None to declare. (Copyright © 2014, Medical University Publishing House Craiova.) |
| Databáze: | MEDLINE |
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