Osobitosti kulture bolesnikove sigurnosti u Općoj bolnici Bjelovar i bolnicama sličnih karakteristika
Specific Features of Patient Safety Culture at the Bjelovar General Hospital and Hospitals of Similar Profile

Summary/Abstract: Background. For improvement of patient safety it is of the utmost importance to create patient safety culture (PSC) in healthcare organizations and among all profiles of health workers. A range of tools was developed for evaluation or measurement of PCS. The most widely used one is the HSOPSC developed at the Agency for Healthcare Research and Quality (AHRQ). Aim of study. To estimate the state of PCS in Bjelovar General Hospital and two similar hospitals in Croatia by applying HSOPSC, and to determine the key parameters of PSC crucial for development of an integral patient safety system at the hospital level. Methods. The research covered health workers in three general hospitals in Croatia, who voluntarily and anonymously filled in the Croatian version of the HSOPSC. Data analyze shows the ratio of positive, negative and neutral attitudes for each question. Statistically significant difference in the assessment of the state of patient safety in their departments and the number of adverse events reported were compared between Croatian and US sample. Results and conclusion. The results indicate a statistically significant lower incidence of adverse events reporting of our respondents in relation to the US while in assessing the state of patient safety in their departments there was no statistically significant difference. Analysis of the responses to 42 HSOPSC questions shows some positive characteristics of PSC in the surveyed hospitals, but also those that are critical and that should be improved. These are: nonpunitive response to error, adverse events reporting, communication openness, teamwork, leadership, and staffing.

• Details
• Contents