مولفه‌های موثر بر ارتقا فرهنگ ایمنی بیمار در بیمارستان تامین اجتماعی فیاض بخش
محورهای موضوعی : -مدارک پزشکیمریم زارع مویدی 1 , سمیه حسام 2
1 - کارشناس‌ارشد مدیریت خدمات بهداشتی و درمانی، دانشکده مدیریت و حسابداری، دانشگاه آزاد اسلامی، واحد تهران جنوب، تهران، ایران
2 - ااستادیار، گروه مدیریت خدمات بهداشتی و درمانی، دانشگاه آزاد اسلامی، واحد تهران جنوب، تهران، ایران، (نویسنده مسئول)، پست الکترونیک: Somayeh59@yahoo.com
کلید واژه: مولفه‌های فرهنگ ایمنی بیمار, بیمارستان فیاض‌بخش, فرهنگ ایمنی بیمار, ایمنی بیمار,
چکیده مقاله :
مقدمه: یکی از چهار جزء اساسی هر سازمانی فرهنگ آن است. هدف این پژوهش تعیین مولفه‌های موثر بر ارتقا فرهنگ ایمنی بیمار در بیمارستان تامین اجتماعی فیاض بخش بود. روش پژوهش: پژوهش حاضر از نوع توصیفی - همبستگی و از لحاظ هدف کاربردی بود. جامعه آماری پرستاران بیمارستان فیاض بخش به تعداد 345 و نمونه آماری 181 نفر بود . ابزار پژوهش پرسشنامه HSOPSC بود که در مطالعات پیشین روایی آن با روش تحلیل عاملی تاییدی (0/96=GFI) و پایایی آن با آزمون آلفای کرونباخ (0/82=α) تایید شده بود. داده‌ها با آمار توصیفی و آزمون t تک نمونه‌ای و نرم‌افزار SPSS22 تحلیل شد. یافته‌ها: مطابق یافته های پژوهش در بیمارستان فیاض بخش، مولفه‌های کارتیمی درون واحدی (00/0=p و 06/27=t)، انتظارات و اقدامات مدیریت (00/0=p و 14/12=t)، درک کلی از ایمنی بیمار (0/00=p و 6/56=t)، مسایل مر بوط به کارکنان (0/00=p و 3/81=t)، کار تیمی ما بین واحد های سازمانی (0/00=p و 9/78=t) و تبادل و انتقال اطلاعات (0/00=p و 11/47=t) در ارتقای فرهنگ ایمنی موثر است و هم‌چنین مولفه‌های یادگیری سازمانی (0/100=p و 1/65=t)، حمایت مدیریت از ایمنی بیمار (0/00=p و 11/25-=t)، ارتباطات و ارایه باز خورد در مورد خطا(0/289=p و 061/063-=t)، تناوب گزارش دهی رخدادها(0/059=p و 901/90-=t)، باز بودن مجاری ارتباطی (0/00=p و 4/219-=t) و برخورد غیر تنبیهی در قبال رویداد حادثه (0/00=p و 9/40-=t) در ارتقای فرهنگ ایمنی بیمار موثر نیست. نتیجه‌گیری: اگر مدیران بیمارستان موانع و مشکلات ابعاد ناموثر را برای ارتقای هر چه بیشتر ابعاد موثر مرتفع نمایند، نتایج قابل ملاحظه‌ای در رابطه فرهنگ ایمنی بیمار در بیمارستان در بلند مدت متصور خواهد بود.
Introduction: One of the four essential components of each organization is its culture. The purpose of this study was to determine the effective factors on promoting the safety culture of the patient in the Fayazbakhsh Hospital. Methods: The present study was descriptive-correlational and applied in terms of its purpose. The statistical population of the nurses of Fayazbakhsh Hospital was 345 and the sample size was 181. The research tool was a HSOPSC questionnaire which was confirmed in previous studies with verified factor analysis (GFI=0.96) and its reliability was confirmed by Cronbach's alpha (α=0.82). Data were analyzed using descriptive statistics, one-sample t-test and SPSS22 software. Results: According to the findings of the research in Fayazbakhsh Hospital, the Components of team work in one unit (p=0.00, t=27.66), management expectations and management measures (p=0.00, t=14.12), a general understanding of Patient safety (p=0.001, t=6.6), staffing issues (p=0.001, t=3.81), our teamwork between organizational units (p=0.00, t=9.78), and the exchange and transmission of information (p=0.001, t=11.47) are effective in improving the safety culture as well as organizational learning components (p=0. 100, t=1.65) Management support of patient safety (p=0.001, t=-11.25), communication and feedback feedback (p=0.289, t=-1.63), reporting frequency of events (P=0.059, t=-1.90), openness of communication channels (p=0.00, t=-4.219) and non-punitive encounter with the incident event (p=0.00, t=-9.40) is not effective in promoting patient safety culture. Conclusion: If hospital managers find obstacles and problems in this dimension to further increase these dimensions, there will be significant results in relation to patient safety culture in hospital in the long run.
1- Nasiriany, KH, Salemi, S, Salman Yazdy, N, Hosseini, F. HOW NURSES RESPECT PATIENT’S RIGHTS. IJN, 2002; 15(32): 8-14. [Persian]
2- Kohn LT, Corrigan JM, Donaldson MS. To Err Is Human: Building a Safer Health System: National Academies Press, 2000; 3 (1): 1-8.
3- Smits M, Christiaans-Dingelhoff I, Wagner C, van der Wal G, Groenewegen PP.The psychometric properties of the 'Hospital Survey on Patient Safety Culture'in Dutch hospitals. BMC Health Services Research, 2008; 8(1): 230- 235.
4- Chan M. Patient Safety: the rising star of clinical care: World health organization report; 2012.
5- Spânu F, Băban A, Bria M, Lucăcel R, Florian IŞ, Rus L. Error Communication and Analy-sis in Hospitals: The Role of Leadership and Interpersonal Climate. Procedia-Social and Behavioral Sciences, 2013; 84(1): 949- 953.
6- Emami Razavi SH, Ravaghi H & Mohaghegh MR. Assessment of patient safety in hospitals a manual for evaluators. Tehran: Mehr Ravesh; 2012: 29. [Persian]
7- Gibbs VC. Patient safety practices in the operating room: correct-site surgery and nothing left behind. Surgical Clinics of North America, 2005; 85(6): 1307-19.
8- Clarke, JR, Johnston, J, Blanco, M et al. Wrong-sitesurgery: can we prevent it? AdvSurg, 2008; 42(1): 13-31.
9- González Lao, E., Salas García, A., Figuerola, M., Moreno, E., Paraire, a. Errors of Clinical Laboratory and Its Impact on Patient Safety. Open Journal of Social Sciences, 2017; 5(1): 234-253.
10- Nasiripour A A, Jafari S. The Relationship of Quality Improvement and Patient Safety with Performance Indicators in Shahid Beheshti University of Medical Science Teaching Hospitals. Payavard, 2016; 10 (4): 311-319. [Persian]
11- Reis C, Paiva S, Sousa P. The patient safety culture: a systematic review by characteristics of Hospital Survey on Patient Safety Culture dimensions. International Journal for Quality in Health Care, 2018; 10(1): 1-18.
12- Rezaie T, ghahramanian A, abdollahzadeh F, Asghari-jafarabadi M, sheykhalipoor Z, fadaei Z. Patient safety culture and the factors influencing from the perspective of nurses of Medical Center of Imam Reza (AS) Tabriz. J Urmia Nurs Midwifery Fac, 2018; 15(10): 767-776. [Persian]
13- Abdi J, Maleki M, Khosravi A. Staff perceptions of patient safety culture in hospitals of Tehran University of Medical Sciences. Quarterly Monitoring, 2011; 10(4): 411. [Persian]
14- Danielsson, M, Nilsen, P, Rutberg H, Årestedt K. A National Study of Patient Safety Culture in Hospitals in Sweden. J Patient Saf, 2017; 4(1): 1549-8417.
15- Mohi Eldin,M., Eissa, E., Elmorsy, H. Safety and Efficacy of Mini Open Transforaminal Lumbar Interbody Fusion. Korean J Spine, 2016; 13(4): 190–195. [Persian]
16- Chen ICh, Li HH, Measuring patient safety culture in Taiwan using the Hospital Survey on Patient Safety Culture (HSOPSC). BMC Health Services Research, 2010; 10 (1): 152-160.
17- Kapaki V, Souliotis K. Psychometric Properties of the Hospital Survey on Patient Safety Culture (HSOPSC): Findings from Greece. Vignettes in Patient Safety, 2016; 2(1): 171–189.
18- Mekonnen A, Mclachlan A, Brien J, Mekonnen D, Abay Z. Hospital survey on patient safety culture in Ethiopian public hospitals: a cross-sectional study. Safety in Health, 2017; 3(11): 2–11.
19- Mohebi Far R, Alijan zade M, Safari Variani A, Khoshtarkib H, Ghanati E, Teymouri F, et al . Studying patient safety culture from the viewpoint of staffs in educational hospitals in Tehran City. JHSW, 2015; 5(1): 57-64. [Persian]
20- Moghri J, Arab M , Akbari Saari A, Nateqi E, Rahimi Forooshani A, Ghiasvand H, Sohrabi R, Goudarzi R. The Psychometric Properties of the Farsi Version of “Hospital Survey on Pa nian J Publ Health, 2012; 41(4): 806. [Persian]
21- Bodur S, Filiz E.Validity and reliability of Turkish version of “Hospital Survey on Patient Safety Culture” and perception of patient safety in public hospitals in Turkey.BMC Health Services Research, 2010; 10(1): 28-36.
22- Pourshareiati F, Amrollahi M. Patient Safety Culture from Rahnemon Hospital Nurses’ Perspective ohhp, 2017; 1(1): 52-61. [Persian]
23- Arshadi Bostanabad M, Jebreili M, kargari rezapour M. Assessment of Nursing Safe Performance In. Neonatal Intensive Care Units of Tabriz. JPEN, 2015; 1(2): 49-60. [Persian]
_||_1- Nasiriany, KH, Salemi, S, Salman Yazdy, N, Hosseini, F. HOW NURSES RESPECT PATIENT’S RIGHTS. IJN, 2002; 15(32): 8-14. [Persian]
2- Kohn LT, Corrigan JM, Donaldson MS. To Err Is Human: Building a Safer Health System: National Academies Press, 2000; 3 (1): 1-8.
3- Smits M, Christiaans-Dingelhoff I, Wagner C, van der Wal G, Groenewegen PP.The psychometric properties of the 'Hospital Survey on Patient Safety Culture'in Dutch hospitals. BMC Health Services Research, 2008; 8(1): 230- 235.
4- Chan M. Patient Safety: the rising star of clinical care: World health organization report; 2012.
5- Spânu F, Băban A, Bria M, Lucăcel R, Florian IŞ, Rus L. Error Communication and Analy-sis in Hospitals: The Role of Leadership and Interpersonal Climate. Procedia-Social and Behavioral Sciences, 2013; 84(1): 949- 953.
6- Emami Razavi SH, Ravaghi H & Mohaghegh MR. Assessment of patient safety in hospitals a manual for evaluators. Tehran: Mehr Ravesh; 2012: 29. [Persian]
7- Gibbs VC. Patient safety practices in the operating room: correct-site surgery and nothing left behind. Surgical Clinics of North America, 2005; 85(6): 1307-19.
8- Clarke, JR, Johnston, J, Blanco, M et al. Wrong-sitesurgery: can we prevent it? AdvSurg, 2008; 42(1): 13-31.
9- González Lao, E., Salas García, A., Figuerola, M., Moreno, E., Paraire, a. Errors of Clinical Laboratory and Its Impact on Patient Safety. Open Journal of Social Sciences, 2017; 5(1): 234-253.
10- Nasiripour A A, Jafari S. The Relationship of Quality Improvement and Patient Safety with Performance Indicators in Shahid Beheshti University of Medical Science Teaching Hospitals. Payavard, 2016; 10 (4): 311-319. [Persian]
11- Reis C, Paiva S, Sousa P. The patient safety culture: a systematic review by characteristics of Hospital Survey on Patient Safety Culture dimensions. International Journal for Quality in Health Care, 2018; 10(1): 1-18.
12- Rezaie T, ghahramanian A, abdollahzadeh F, Asghari-jafarabadi M, sheykhalipoor Z, fadaei Z. Patient safety culture and the factors influencing from the perspective of nurses of Medical Center of Imam Reza (AS) Tabriz. J Urmia Nurs Midwifery Fac, 2018; 15(10): 767-776. [Persian]
13- Abdi J, Maleki M, Khosravi A. Staff perceptions of patient safety culture in hospitals of Tehran University of Medical Sciences. Quarterly Monitoring, 2011; 10(4): 411. [Persian]
14- Danielsson, M, Nilsen, P, Rutberg H, Årestedt K. A National Study of Patient Safety Culture in Hospitals in Sweden. J Patient Saf, 2017; 4(1): 1549-8417.
15- Mohi Eldin,M., Eissa, E., Elmorsy, H. Safety and Efficacy of Mini Open Transforaminal Lumbar Interbody Fusion. Korean J Spine, 2016; 13(4): 190–195. [Persian]
16- Chen ICh, Li HH, Measuring patient safety culture in Taiwan using the Hospital Survey on Patient Safety Culture (HSOPSC). BMC Health Services Research, 2010; 10 (1): 152-160.
17- Kapaki V, Souliotis K. Psychometric Properties of the Hospital Survey on Patient Safety Culture (HSOPSC): Findings from Greece. Vignettes in Patient Safety, 2016; 2(1): 171–189.
18- Mekonnen A, Mclachlan A, Brien J, Mekonnen D, Abay Z. Hospital survey on patient safety culture in Ethiopian public hospitals: a cross-sectional study. Safety in Health, 2017; 3(11): 2–11.
19- Mohebi Far R, Alijan zade M, Safari Variani A, Khoshtarkib H, Ghanati E, Teymouri F, et al . Studying patient safety culture from the viewpoint of staffs in educational hospitals in Tehran City. JHSW, 2015; 5(1): 57-64. [Persian]
20- Moghri J, Arab M , Akbari Saari A, Nateqi E, Rahimi Forooshani A, Ghiasvand H, Sohrabi R, Goudarzi R. The Psychometric Properties of the Farsi Version of “Hospital Survey on Pa nian J Publ Health, 2012; 41(4): 806. [Persian]
21- Bodur S, Filiz E.Validity and reliability of Turkish version of “Hospital Survey on Patient Safety Culture” and perception of patient safety in public hospitals in Turkey.BMC Health Services Research, 2010; 10(1): 28-36.
22- Pourshareiati F, Amrollahi M. Patient Safety Culture from Rahnemon Hospital Nurses’ Perspective ohhp, 2017; 1(1): 52-61. [Persian]
23- Arshadi Bostanabad M, Jebreili M, kargari rezapour M. Assessment of Nursing Safe Performance In. Neonatal Intensive Care Units of Tabriz. JPEN, 2015; 1(2): 49-60. [Persian]