Patient Safety Culture

A study to determine the patient safety culture levels of those working in the operating room environment. The Turkish version of the Hospital Survey on Patient Safety Culture (HSOPSC) was administered to nurses, anesthesia technicians, assistant physicians, and specialist physicians working in the Operating Rooms (n=258) of two university hospitals in Konya, a large city in Anatolian region of Turkey. HSOPSC includes 42 items (12 dimensions). Eighteen of the 42 items belonging to 12 dimensions were worded negatively. Survey item was measured on a 5-point Likert scale (strongly disagree to strongly agree and never to always). The options "disagree" and "strongly disagree" were coded as 0, and the options "agree" and "strongly agree" were coded as 1. In addition, participants were asked to rate the area in which they worked in terms of patient safety and to indicate how many events they had reported in the last 12 months. In the last part of the survey, 5 questions were asked to the participants to provide background information about themselves. Average percent positive response to the 42 items was low (41%, n=258). While there was no change in one dimension of the questionnaire compared to 2008; there was a positive change in 8 dimensions and a negative change in 3 dimensions. All 12 dimensions were lower than the Agency for Healthcare Research and Quality score.

本研究旨在探究工作于手术室环境中的医护人员对患者安全文化的认知水平。该研究采用了土耳其版的医院患者安全文化调查问卷（HSOPSC）对康雅两所大学医院的手术室（n=258）中的护士、麻醉技师、助理医师及专科医师进行施测。HSOPSC问卷包含42个项目（12个维度），其中18个项目属于12个维度，其表述为负向。问卷项目采用5点李克特量表进行测量（从强烈反对至强烈同意，以及从不至总是）。选项“不同意”和“强烈不同意”被编码为0，而选项“同意”和“强烈同意”被编码为1。此外，参与者还被要求对所在工作区域的患者安全状况进行评价，并指出在过去12个月内报告的事件数量。在调查的最后部分，向参与者提出了5个问题，以收集他们自身背景信息。对于42个项目的平均正向响应百分比较低（41%，n=258）。与2008年相比，问卷的一个维度没有变化；8个维度有所提升，而3个维度则有所下降。所有12个维度均低于美国卫生研究与质量署的评分标准。