ABSTRACT
Abstract Introduction: The safety climate (SC) measurement in the hospitals, is essential for the development of a patient safety policy (PSP). Information about SC in the operating rooms is scarce. Objective: To measure the dimensions of SC in Colombian Operating Rooms according to characteristics of surgical staff. Methods: Cross-sectional study. The Hospital Survey on Patient Safety and an additional module for operating rooms were administered to healthcare workers in 6 high-complexity hospitals in the Metropolitan Area of Medellín (Colombia). The positive responses percentage for each dimension was measured. Differences by profession and type of contract were analyzed. Results: A total of442 participants were included. The workers in the operating rooms perceive a weak SC in terms of non-punitive response to error and workload (49.4% and 59.3% positive responses, respectively). Differences were found between physicians and nurses with lower scores in nursing for dimensions related to patient care. Anesthesiologists present low scores in events reporting. There are also differences by the type of work contract. Conclusion: Despite the PSP, the perception of a punitive culture to error, with a high workload. Recognizing differences between the groups within the surgical units helps to focus interventions strengthening the patient safety.
Resumen Introducción: La medición del clima de seguridad (CS) en las instituciones de salud es parte fundamental del desarrollo de una política de seguridad del paciente (PSP). Existe poca información acerca de la medición de clima de seguridad en las unidades quirúrgicas. Objetivo: Medir las dimensiones del CS en las unidades quirúrgicas de seis instituciones de salud colombianas según las características del personal. Métodos: Estudio de corte transversal. El cuestionario sobre seguridad del paciente en los hospitales (HSOPS) más la adición de un módulo para unidades quirúrgicas se aplicó al personal de seis hospitales de III nivel de Medellín (Colombia). Se midió el porcentaje de respuestas positivas para cada dimensión del CS. Se analizaron las diferencias por profesión y tipo de contratación. Resultados: Se incluyeron 442 participantes. El personal de las unidades quirúrgicas percibe un CS débil en respuesta no punitiva al error y carga de trabajo (49,4 % y 59,3 % de respuestas positivas respectivamente). Se encontraron diferencias entre personal médico y de enfermería con puntajes más bajos de percepción de CS en enfermería para aquellas dimensiones relacionadas con cuidado del paciente. Los anestesiólogos presentan puntajes bajos en el reporte de eventos. Existen además diferencias según el tipo de contrato de trabajo. Conclusiones: A pesar de la implementación de políticas de seguridad del paciente, persiste la percepción de una cultura punitiva frente al error, con una carga de trabajo elevado. El reconocimiento de las diferencias entre los grupos en las unidades quirúrgicas permitirá focalizar intervenciones que fortalezcan la seguridad del paciente.
Subject(s)
Humans , Male , Female , Patient Safety , Health Facilities , Operating Rooms , Workload , Health Personnel , Anesthesiologists , Patient Care , HospitalsABSTRACT
OBJECTIVES: The topic of patient safety has recently gained attention across healthcare institutes. Building a broad awareness of patient safety issues among dental care personnel, thus establishing a sound patient safety culture, has beneficial prophylactic effects on the quality assurance of dental care services. This study examines the adequacy and validity of the Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire developed by the Agency for Healthcare Research and Quality (AHRQ) for application to Korean dental care institutes. METHODS: The HSOPSC, which is a self-administered questionnaire survey, was administered to dental care workers who participated in the 2011 Dental Care Quality Assurance Symposium. The reliability and construct validity of the questionnaire were tested using STATA 11.0; factor, reliability, and correlation analyses were performed. RESULTS: Awareness of patient safety was dealt with in 10 subareas comprising 38 items. The 10 subareas were included patient safety policy at the institute level, open communication, patient safety-related expectations and behaviors of managers, frequency of reporting on patient safety-related incidents, and teamwork within the department. Both the construct validity and internal consistency of each factor were confirmed to be adequate. CONCLUSIONS: The results of the adequacy test for the application of this questionnaire to dental care institutes revealed that most items had a certain level of validity and reliability. However, it is necessary to reflect upon the specificity of dental care services to assess patient safety culture within dental care institutes more accurately.