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首页> 外文期刊>Archives of disease in childhood. Fetal and neonatal edition >The Safety Attitudes Questionnaire as a tool for benchmarking safety culture in the NICU.
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The Safety Attitudes Questionnaire as a tool for benchmarking safety culture in the NICU.

机译：安全态度调查表是在NICU中对安全文化进行基准测试的工具。

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Neonatal intensive care unit (NICU) safety culture, as measured by the Safety Attitudes Questionnaire (SAQ), varies widely. Associations with clinical outcomes in the adult intensive care unit setting make the SAQ an attractive tool for comparing clinical performance between hospitals. Little information is available on the use of the SAQ for this purpose in the NICU setting.To determine whether the dimensions of safety culture measured by the SAQ give consistent results when used as a NICU performance measure.Cross-sectional survey of caregivers in 12 NICUs, using the six scales of the SAQ: teamwork climate, safety climate, job satisfaction, stress recognition, perceptions of management and working conditions. NICUs were ranked by quantifying their contribution to overall risk-adjusted variation across the scales. Spearman rank correlation coefficients were used to test for consistency in scale performance. The authors then examined whether performance in the top four NICUs in one scale predicted top four performance in others.There were 547 respondents in 12 NICUs. Of 15 NICU-level correlations in performance ranking, two were >0.7, seven were between 0.4 and 0.69, and the six remaining were <0.4. The authors found a trend towards significance in comparing the distribution of performance in the top four NICUs across domains with a binomial distribution p=0.051, indicating generally consistent performance across dimensions of safety culture.A culture of safety permeates many aspects of patient care and organisational functioning. The SAQ may be a useful tool for comparative performance assessments among NICUs.
机译：安全态度调查表（SAQ）衡量的新生儿重症监护病房（NICU）安全文化差异很大。与成人重症监护病房设置的临床结果相关联，使SAQ成为比较医院之间临床表现的有吸引力的工具。在重症监护病房（NICU）中为此目的使用SAQ的信息很少。要确定由SAQ衡量的安全文化的规模在用作重症监护病房（NICU）绩效衡量指标时是否给出一致的结果.12个重症监护病房（NICU）的护理人员横断面调查，使用SAQ的六个量表：团队合作气氛，安全气氛，工作满意度，压力识别，对管理和工作条件的感知。重症监护病房通过量化其对各个量表中总体风险调整后差异的贡献进行排名。 Spearman等级相关系数用于测试量表性能的一致性。然后，作者检查了前四个重症监护病房的表现是否可以预测其他规模的前四名表现.12个重症监护病房中有547个受访者。在15个重症监护病房（NICU）级别的绩效排名相关性中，两个> 0.7，七个在0.4到0.69之间，其余六个<0.4。作者发现了一种趋势，即通过比较二项分布p = 0.051的域在前四个重症监护病房（NCCU）中的绩效分布，表明在安全文化各个维度上的绩效总体上是一致的。安全文化贯穿于患者护理和组织的许多方面运作。 SAQ可能是在重症监护病房之间进行比较绩效评估的有用工具。

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