Оценка культуры безопасности в медицинской организации и влияние мероприятий по культуре безопасности на отчетность об инцидентах

Abstract

Study Objective: To assess the impact of safety culture measures on incident reporting and the level of safety culture in NJSC “National Scientific Cardiac Surgery Center” (hereinafter referred to as the Society). To conduct a comparative analysis of the number of reported incidents before and after the implementation of the safety culture policy. To analysis the safety culture questionnaire. Methods: Descriptive analysis was used to describe general information, work-related information of participants and statistical analysis of the results of the study was carried out in IBM SPSS 26.0 version. To analyse qualitative data, X2Pearson's test and Fisher's test were used. Differences were considered statistically significant at p≤0.05. The percentage of positive response for each item was calculated by “Hospital Survey on Patient Safety Culture (HSOPSC)” guideline. Then, the percentage of each positive composite score was calculated by using average percent of each item in the composite. The composite that was rated positively ⩾75% are identified as strengths, whereas those with score of 50% and below were regarded as weaknesses. A multiple linear regression was used to gain a better understanding of the association between overall patient safety score.Results: This study provides an overall assessment of perceptions of safety among the Society's staff. The results indicate an increased focus on patient safety and continuous improvement efforts. Safety culture is well perceived with an overall positive response rate of 79% and strengths include teamwork within the units and organisational learning/continuous improvement. However, the results also show that safety culture is not yet fully developed, with increased focus on non-punitive responses to errors and staffing.Conclusions: Measuring the responses to the survey questions has allowed us to achieve our main objective of measuring the attitudes of the Company's employees towards safety culture. The results establish a basis for future benchmarking and identify opportunities for improvement within the Society.Key words: Safety culture, incident reporting, patient safety, incidents, medical errors.