Identifying critical dimensions of patient safety culture in Taiwan
| Autor: | Zeng,Pei-Shan, 曾佩珊 |
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| Rok vydání: | 2017 |
| Druh dokumentu: | 學位論文 ; thesis |
| Popis: | 105 In recent years, medical institutions around the world have increased the emphasis on quality of care and patient safety by constantly reducing the potential medical errors and harms and then improving the patient safety culture. A health care agency's safety culture is generally measured through safety attitudes questionnaire (SAQ), and, so far, these dimensions are considered to be a reflection of how medical personnel put their efforts to improve patient safety. In this study, eleven experts in patient safety culture were invited and the decision-making trial and evaluation laboratory method (DEMATEL) is used for analysis. First to analyze the six safety dimensions in patient safety culture, the findings show that teamwork climate is the most essential dimension when causal relationship is taken into account, while stress recognition is the least essential dimension. In fact, teamwork climate, stress recognition, and perceptions of management are the only three cause-based dimensions. Therefore, hospital managers should pay much attention to teamwork climate followed by perceptions of management in order to provide better quality health care services, particularly in the patient safety. Compared with the results conducted by Lee et al., both studies uses SAQ as the questionnaire and DEMATEL as an analysis tool to discuss the causal relationships among dimensions. In contrast to the similarities, both studies are conducted in different years, have different experts interviewed, and have somewhat different results. The consensus of both studies is that teamwork climate is the most important dimension and stress recognition is the least important dimension. In addition, teamwork is the most critical dimensions of patient safety culture. Continued to analyze the eight safety dimensions in patient safety culture, the findings show that job satisfaction is the most essential dimension when causal relationship is taken into account, while work life balance is the least essential dimension. In fact, stress recognition, perceptions of management, resilience and work life balance are the only four cause-based dimensions. Therefore, hospital managers should pay much attention to perceptions of management followed by resilience in order to provide better health care service quality, particularly in the patient safety. Keywords: patient safety culture, safety attitudes questionnaire, causal relationship, decision-making trial and evaluation laboratory method |
| Databáze: | Networked Digital Library of Theses & Dissertations |
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