PDF(Pubmed)
Abstract：
BACKGROUND: In recent years, patient safety has begun to receive particular attention and has become a priority all over the world. Patient Safety Culture (PSC) is widely recognized as a key tenet that must be improved in order to enhance patient safety and prevent adverse events. However, in gynecology and obstetrics, despite the criticality of the environment, few studies have focused on improving PSC in these units. This study aimed at assessing the effectiveness of an educational program to improve PSC among health professionals working in the obstetric unit of a Tunisian university hospital.
METHODS: We conducted a quasi-experimental study in the obstetric unit of a university hospital in Sousse (Tunisia). All the obstetric unit\'s professionals were invited to take part in the study (n = 95). The intervention consisted of an educational intervention with workshops and self-learning documents on patient safety and quality of care. The study instrument was the French validated version of the Hospital Survey on Patient Safety Culture. Normality of the data was checked using Kolmogorov-Smirnov test. The comparison of dimensions\' scores before and after the intervention was carried out by the chi2 test. The significance level was set at 0.05.
RESULTS: In total, 73 participants gave survey feedback in pre-test and 68 in post-test (response rates of 76.8% and 71.6, respectively). Eight dimensions improved significantly between pre- and post-tests. These dimensions were D2 \"Frequency of adverse events reported\" (from 30.1 to 65.6%, p < 0.001), D3 \"Supervisor/Manager expectations and actions promoting patient safety\" (from 38.0 to 76.8%, p < 0.001), D4 \"Continuous improvement and organizational learning\" (from 37.5 to 41.0%, p < 0.01), D5 \"Teamwork within units\" (from 58.2 to 79.7%, p < 0.01), D6 \"Communication openness\" (from 40.6 to 70.6%, p < 0.001), and D7 \"Non-punitive response to error\" (from 21.1 to 42.7%, p < 0.01), D9 \"Management support for patient safety\" (from 26.4 to 72.8%, p < 0.001), and D10 \"Teamwork across units\" (from 31.4 to 76.2%, p < 0.001).
CONCLUSIONS: Educational intervention, including workshops and self-learning as pedagogical tools can improve PSC. The sustainability of the improvements made depends on the collaboration of all personnel to create and promote a culture of safety. Staff commitment at all levels remains the cornerstone of any continuous improvement in the area of patient safety.
METHODS: We conducted a quasi-experimental study in the obstetric unit of a university hospital in Sousse (Tunisia). All the obstetric unit\'s professionals were invited to take part in the study (n = 95). The intervention consisted of an educational intervention with workshops and self-learning documents on patient safety and quality of care. The study instrument was the French validated version of the Hospital Survey on Patient Safety Culture. Normality of the data was checked using Kolmogorov-Smirnov test. The comparison of dimensions\' scores before and after the intervention was carried out by the chi2 test. The significance level was set at 0.05.
RESULTS: In total, 73 participants gave survey feedback in pre-test and 68 in post-test (response rates of 76.8% and 71.6, respectively). Eight dimensions improved significantly between pre- and post-tests. These dimensions were D2 \"Frequency of adverse events reported\" (from 30.1 to 65.6%, p < 0.001), D3 \"Supervisor/Manager expectations and actions promoting patient safety\" (from 38.0 to 76.8%, p < 0.001), D4 \"Continuous improvement and organizational learning\" (from 37.5 to 41.0%, p < 0.01), D5 \"Teamwork within units\" (from 58.2 to 79.7%, p < 0.01), D6 \"Communication openness\" (from 40.6 to 70.6%, p < 0.001), and D7 \"Non-punitive response to error\" (from 21.1 to 42.7%, p < 0.01), D9 \"Management support for patient safety\" (from 26.4 to 72.8%, p < 0.001), and D10 \"Teamwork across units\" (from 31.4 to 76.2%, p < 0.001).
CONCLUSIONS: Educational intervention, including workshops and self-learning as pedagogical tools can improve PSC. The sustainability of the improvements made depends on the collaboration of all personnel to create and promote a culture of safety. Staff commitment at all levels remains the cornerstone of any continuous improvement in the area of patient safety.
摘要：
背景：近年来，患者安全已开始受到特别关注，并已成为全世界的优先事项。患者安全文化（PSC）被广泛认为是必须改进以提高患者安全性和预防不良事件的关键原则。然而,在妇产科，尽管环境很关键，很少有研究集中在改善这些单位的PSC。这项研究旨在评估在突尼斯大学医院产科部门工作的卫生专业人员中改善PSC的教育计划的有效性。
方法：我们在苏塞（突尼斯）一所大学医院的产科进行了一项准实验研究。所有产科专业人员都被邀请参加研究（n=95）。干预措施包括教育干预措施，包括讲习班和有关患者安全和护理质量的自学文件。研究工具是法国验证版本的医院患者安全文化调查。使用Kolmogorov-Smirnov检验检查数据的正态。通过chi2测试比较干预前后的维度得分。显著性水平设定为0.05。
结果：总计，73名参与者在测试前提供了调查反馈，在测试后提供了68名（反应率分别为76.8％和71.6）。八个维度在前后测试之间显著改善。这些维度为D2“报告不良事件的频率”(从30.1%到65.6%，p<0.001)，D3“主管/经理期望和促进患者安全的行动”（从38.0％到76.8％，p<0.001)，D4“持续改进和组织学习”(从37.5%到41.0%，p<0.01),D5“单位内团队合作”(从58.2到79.7%，p<0.01),D6“通信开放度”(从40.6%到70.6%，p<0.001)，和D7“对错误的非惩罚性反应”(从21.1%到42.7%，p<0.01),D9“患者安全管理支持”(从26.4%到72.8%，p<0.001)，和D10“跨单位团队合作”(从31.4%到76.2%，p<0.001)。
结论：教育干预，包括研讨会和自学作为教学工具可以改善PSC。所做改进的可持续性取决于所有人员的合作，以创造和促进安全文化。各级员工的承诺仍然是患者安全领域任何持续改进的基石。
方法：我们在苏塞（突尼斯）一所大学医院的产科进行了一项准实验研究。所有产科专业人员都被邀请参加研究（n=95）。干预措施包括教育干预措施，包括讲习班和有关患者安全和护理质量的自学文件。研究工具是法国验证版本的医院患者安全文化调查。使用Kolmogorov-Smirnov检验检查数据的正态。通过chi2测试比较干预前后的维度得分。显著性水平设定为0.05。
结果：总计，73名参与者在测试前提供了调查反馈，在测试后提供了68名（反应率分别为76.8％和71.6）。八个维度在前后测试之间显著改善。这些维度为D2“报告不良事件的频率”(从30.1%到65.6%，p<0.001)，D3“主管/经理期望和促进患者安全的行动”（从38.0％到76.8％，p<0.001)，D4“持续改进和组织学习”(从37.5%到41.0%，p<0.01),D5“单位内团队合作”(从58.2到79.7%，p<0.01),D6“通信开放度”(从40.6%到70.6%，p<0.001)，和D7“对错误的非惩罚性反应”(从21.1%到42.7%，p<0.01),D9“患者安全管理支持”(从26.4%到72.8%，p<0.001)，和D10“跨单位团队合作”(从31.4%到76.2%，p<0.001)。
结论：教育干预，包括研讨会和自学作为教学工具可以改善PSC。所做改进的可持续性取决于所有人员的合作，以创造和促进安全文化。各级员工的承诺仍然是患者安全领域任何持续改进的基石。
