Introduction: A patient safety culture (PSC) is a complex phenomenon, representing an essential part of the organizational culture and refers to the shared values, conceptions and beliefs which contribute to the formation and encouragement of safe behavioural models in a health organization. With this study, the authors wanted to delineate the attitude of hospital staff in Bulgaria regarding PSC and to document to whether attitudes differ between physicians and other healthcare professionals (HCPs).
Methods: A national cross-sectional survey among 384 HCPs was conducted using an online version of the Bulgarian version of Hospital Survey on Patient Safety Culture (B-HSOPSC). The data was analysed with descriptive statistics, non-parametric Mann-Whitney U and x 2 tests.
Results: The physicians represented 37.50% (144) of the sample and other HCPs 62.50% (240). Respondents from governmental/municipal hospitals prevailed (53.6%). The dimensions "Staffing" and "Non-punitive response to error" were most problematic, as their percentage of positive response rates (PRRs) were lowest. However, "Handoffs and transitions" and "Supervisor/manager expectations and actions promoting safety" showed the highest mean values in both physicians and other HCPs. From all participants, 76.0% have never reported an adverse event or error.
Conclusion: The results of the study show that all respondents demonstrate a positive attitude regarding PSC. A comparison of the mean values and that of PRRs in the dimensions did not show any group differences, according to the type of staff position, i.e. physicians or other HCPs.
Uvod: Kultura varnosti pacientov je kompleksen pojav, ki je bistven del organizacijske kulture in se nanaša na skupne vrednote, pojmovanja in prepričanja, ki prispevajo k oblikovanju in spodbujanju varnih vedenjskih modelov v zdravstveni organizaciji. Avtorji so v tej študiji želeli opisati odnos bolnišničnega osebja do kulture varnosti pacientov v Bolgariji ter dokazati, ali se stališče zdravnikov razlikuje od stališča drugih zdravstvenih delavcev
Metode: Opravljena je bila nacionalna presečna raziskava med 384 zdravstvenimi delavci, za katero je bila uporabljena spletna različica bolgarske različice ankete o bolnišnični kulturi varnosti pacientov (B-HSOPSC). Podatki so bili analizirani z opisno statistiko, neparametričnim Mann-Whitneyjevim U testom in x 2 testom.
Rezultati: Zdravnikov je bilo 37,50 % (144), drugih zdravstvenih delavcev pa 62,50 % (240). Prevladovali so respondenti iz državnih/občinskih bolnišnic (53,6 %). Najbolj problematični sta bili dimenziji »osebje« in »nekaznovalni odziv na napake«, saj je bil odstotek pozitivnih odgovorov pri njiju najnižji. Pri dimenzijah »Predaja pacientov in premestitve« in »Pričakovanja in ukrepi nadzornika/direktorja bolnišnice za spodbujanje varnosti« pa so bile srednje vrednosti najvišje tako pri zdravnikih kot pri drugih zdravstvenih delavcih. Delež udeležencev, ki niso nikoli sporočili neželenega dogodka ali napake, je bil 76,0 %.
Zaključek: Rezultati študije kažejo, da vsi respondenti izkazujejo pozitiven odnos do kulture varnosti pacientov. Primerjava med srednjimi vrednostmi in pozitivnimi odgovori pri dimenzijah ni pokazala razlik med skupinami glede na vrsto položaja osebja, tj. zdravniki ali drugimi zdravstvenimi delavci.
Keywords: HSOPSC; e-platforms; healthcare professionals; safety patient culture.
© 2021 Rumyana Stoyanova, Rositsa Dimova, Bianka Tornyova, Momchil Mavrov, Harieta Elkova, published by Sciendo.