PDF(Pubmed)
Abstract：
UNASSIGNED: We sought to understand how safety culture may evolve during disruption, by using the COVID-19 pandemic as an example, to identify vulnerabilities in the system that could impact patient outcomes.
UNASSIGNED: A cross-sectional analysis of transplant personnel at a high-volume transplant center was conducted using the Safety Attitudes Questionnaire (SAQ). Survey responses were scaled and evaluated pre- and post-COVID-19 (2019 and 2021).
UNASSIGNED: Two-hundred and thirty-eight responses were collected (134 pre-pandemic and 104 post-pandemic). Represented organ groups included: kidney (N = 89;38%), heart (N = 18;8%), liver (N = 54;23%), multiple (N = 66;28%), and other (N = 10;4%). Responders primarily included nurses (N = 75;34%), administration (N = 50;23%), and physicians (N = 24;11%). Workers had high safety, job satisfaction, stress recognition, and working conditions satisfaction (score >75) both before and after the pandemic with overlapping responses across both timepoints. Stress recognition, safety, and working conditions improved post-COVID-19, but teamwork, job satisfaction, and perceptions of management were somewhat negatively impacted (all p > 0.05).
UNASSIGNED: Despite the serious health care disruptions induced by the pandemic, high domain ratings were notable and largely maintained in a high-volume transplant center. The SAQ is a valuable tool for healthcare units and can be used in longitudinal assessments of transplant culture of safety as a component of quality assurance and performance improvement initiatives.
UNASSIGNED: A cross-sectional analysis of transplant personnel at a high-volume transplant center was conducted using the Safety Attitudes Questionnaire (SAQ). Survey responses were scaled and evaluated pre- and post-COVID-19 (2019 and 2021).
UNASSIGNED: Two-hundred and thirty-eight responses were collected (134 pre-pandemic and 104 post-pandemic). Represented organ groups included: kidney (N = 89;38%), heart (N = 18;8%), liver (N = 54;23%), multiple (N = 66;28%), and other (N = 10;4%). Responders primarily included nurses (N = 75;34%), administration (N = 50;23%), and physicians (N = 24;11%). Workers had high safety, job satisfaction, stress recognition, and working conditions satisfaction (score >75) both before and after the pandemic with overlapping responses across both timepoints. Stress recognition, safety, and working conditions improved post-COVID-19, but teamwork, job satisfaction, and perceptions of management were somewhat negatively impacted (all p > 0.05).
UNASSIGNED: Despite the serious health care disruptions induced by the pandemic, high domain ratings were notable and largely maintained in a high-volume transplant center. The SAQ is a valuable tool for healthcare units and can be used in longitudinal assessments of transplant culture of safety as a component of quality assurance and performance improvement initiatives.
摘要：
■我们试图了解安全文化在中断期间如何演变，以COVID-19大流行为例，以确定系统中可能影响患者治疗结果的漏洞。
■使用安全态度问卷（SAQ）对高容量移植中心的移植人员进行了横断面分析。调查回复在COVID-19前后（2019年和2021年）进行了缩放和评估。
■收集了两百三十八份反应（大流行前134份，大流行后104份）。代表器官组包括：肾脏（N=89;38％），心脏（N=18；8%），肝脏（N=54；23%），倍数（N=66；28%），和其他（N=10；4%）。响应者主要包括护士（N=75；34％），给药（N=50；23%），和医生（N=24；11%）。工人有很高的安全性，工作满意度,压力识别，以及大流行前后的工作条件满意度（评分>75），两个时间点的反应重叠。压力识别，安全,工作条件有所改善，但团队合作，工作满意度,和对管理的看法受到了一定程度的负面影响(所有p>0.05)。
■尽管大流行导致了严重的医疗保健中断，高领域评级是值得注意的,并且在高容量移植中心基本保持.SAQ是医疗保健单位的宝贵工具，可用于纵向评估移植文化的安全性，作为质量保证和性能改进计划的组成部分。
■使用安全态度问卷（SAQ）对高容量移植中心的移植人员进行了横断面分析。调查回复在COVID-19前后（2019年和2021年）进行了缩放和评估。
■收集了两百三十八份反应（大流行前134份，大流行后104份）。代表器官组包括：肾脏（N=89;38％），心脏（N=18；8%），肝脏（N=54；23%），倍数（N=66；28%），和其他（N=10；4%）。响应者主要包括护士（N=75；34％），给药（N=50；23%），和医生（N=24；11%）。工人有很高的安全性，工作满意度,压力识别，以及大流行前后的工作条件满意度（评分>75），两个时间点的反应重叠。压力识别，安全,工作条件有所改善，但团队合作，工作满意度,和对管理的看法受到了一定程度的负面影响(所有p>0.05)。
■尽管大流行导致了严重的医疗保健中断，高领域评级是值得注意的,并且在高容量移植中心基本保持.SAQ是医疗保健单位的宝贵工具，可用于纵向评估移植文化的安全性，作为质量保证和性能改进计划的组成部分。
