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首页> 外文期刊>Journal of patient safety >A Multilevel Analysis of US Hospital Patient Safety Culture Relationships With Perceptions of Voluntary Event Reporting
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A Multilevel Analysis of US Hospital Patient Safety Culture Relationships With Perceptions of Voluntary Event Reporting

机译：对志愿事件报告的看法，对美国医院患者安全文化关系的多级分析

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Objectives Patient safety events offer opportunities to improve patient care, but, unfortunately, events often go unreported. Although some barriers to event reporting can be reduced with electronic reporting systems, insight on organizational and cultural factors that influence reporting frequency may help hospitals increase reporting rates and improve patient safety. The purpose of this study was to evaluate the associations between dimensions of patient safety culture and perceived reporting practices of safety events of varying severity. Methods We conducted a cross-sectional survey study using previously collected data from The Agency for Healthcare Research and Quality Hospital Survey of Patient Safety Culture as predictors and outcome variables. The dataset included health-care professionals in U.S. hospitals, and data were analyzed using multilevel modeling techniques. Results Data from 223,412 individuals, 7816 work areas/units, and 967 hospitals were analyzed. Whether examining near miss, no harm, or potential for harm safety events, the dimension feedback about error accounted for the most unique predictive variance in the outcome frequency of events reported. Other significantly associated variables included organizational learning, nonpunitive response to error, and teamwork within units (allP <0.001). As the perceived severity of the safety event increased, more culture dimensions became significantly associated with voluntary reporting. Conclusions To increase the likelihood that a patient safety event will be voluntarily reported, our study suggests placing priority on improving event feedback mechanisms and communication of event-related improvements. Focusing efforts on these aspects may be more efficient than other forms of culture change.
机译：目标患者安全事件提供改善患者护理的机会，但不幸的是，事件经常未报告。虽然事件报告的一些障碍可以减少电子报告系统，但有关影响报告频率的组织和文化因素的见解可能有助于医院增加报告率并提高患者安全性。本研究的目的是评估患者安全文化维度与不同严重程度的安全事件的报告措施之间的关联。方法采用先前收集来自医疗保健研究和患者安全文化的医疗保健研究和患者安全文化调查的数据作为预测因子和结果变量进行横断面调查研究。 DataSet包括美国医院的医疗保健专业人士，并使用多级建模技术进行分析数据。结果数据来自223,412个，7816个工作区域/单位和967家医院进行了分析。无论是在近小姐附近检查，没有伤害或潜在的伤害安全事件，关于错误的尺寸反馈占了报告的事件结果频率最独特的预测方差。其他显着相关的变量包括组织学习，对错误的非金属响应，以及单位内的团队合作（ALLP <0.001）。由于安全事件的感知严重程度增加，与自愿报告有关的文化维度会显着相关。结论提高了患者安全事件将自愿报告的可能性，我们的研究表明，在改善事件反馈机制和与事件相关的改进的沟通方面进行了优先考虑。对这些方面的重点努力可能比其他形式的文化变化更有效。

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