Baseline Patient Safety Culture in Cameroon: Setting a Foundation for Trauma Quality Improvement.
Baseline Patient Safety Culture in Cameroon: Setting a Foundation for Trauma Quality Improvement.
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DOI：
10.1016/j.jss.2020.05.068
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发表时间：
2020-11
期刊：
影响因子：
--
通讯作者：
Juillard C
中科院分区：
文献类型：
--
作者：
Ding K;Nguyen N;Carvalho M;Dissak Delon FN;Mekolo D;Nkusu D;Tchekep MS;Oke RA;Mbianyor MA;Yenshu EV;Boeck M;Collins C;Jackson N;Mefire AC;Juillard C
创伤质量改善（QI）已导致高收入国家创伤死亡率和发病率下降，并有可能在低收入和中等收入国家实现同样的目标。QI计划的有效实施依赖于患者安全的基本文化;然而，撒哈拉以南非洲地区与创伤相关的患者安全文化研究仍然很少。这项研究评估了喀麦隆的基线患者安全文化，以最好地确定改进的机会。在喀麦隆沿岸的地区的3家医院进行了为期3周的患者安全文化医院调查。在12个调查维度的42个项目中计算了积极响应（PPR）的百分比。使用混合效应logistic回归模型总结维度水平百分比和置信区间。共有179名创伤相关的医院人员进行了调查，总体应答率为76.8%。高的PPR表明有利的患者安全文化。在HSOPSC评价的12个维度中，9个维度的PPR低于50%。在质量改进的背景下，特别相关的维度包括对错误的非惩罚性反应，PPR为25.8%，组织学习持续改进，PPR为64.7%。本研究阐明了创伤患者安全文化在喀麦隆的发展机会。对错误的非惩罚性反应的低PPR表明需要将文化范式从归因于个人责任转变为解决患者护理的系统性缺陷。展望未来，这项研究的数据将为在合作医院中培养患者安全文化的干预措施提供信息。
Trauma quality improvement (QI) has resulted in decreased trauma mortality and morbidity in high-income countries and has the potential to do the same in low-and middle-income countries. Effective implementation of QI programs relies on a foundational culture of patient safety; however, studies on trauma-related patient safety culture in Sub-Saharan Africa remain scarce. This study assesses baseline patient safety culture in Cameroon to best identify opportunities for improvement. Over a 3-week period, the Hospital Survey on Patient Safety Culture (HSOPSC) was administered in 3 hospitals in the Littoral region of Cameroon. Percentages of positive responses (PPRs) were calculated across 42 items in 12 survey dimensions. A mixed-effects logistic regression model was used to summarize dimension-level percentages and confidence intervals. A total of 179 trauma-related hospital personnel were surveyed with an overall response rate of 76.8%. High PPRs indicate favorable patient safety culture. Of the 12 dimensions evaluated by the HSOPSC, 9 had a PPR below 50%. Dimensions particularly pertinent in the context of quality improvement include Non-Punitive response to Errors with a PPR of 25.8% and Organization Learning—Continuous Improvement with a PPR of 64.7%. The present study elucidates an opportunity for the development of trauma patient safety culture in Cameroon. Low PPR for Non-punitive Response to Errors indicates a need to shift cultural paradigms from ascribing individual blame to addressing systemic shortcomings of patient care. Moving forward, data from this study will inform interventions to cultivate patient safety culture in partnering Cameroonian hospitals.
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影响因子：
105.7
作者：
Reason, J
通讯作者：
Reason, J
DOI：
10.1136/injuryprev-2015-041616
发表时间：
2016-02
期刊：
Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention
影响因子：
--
作者：
Haagsma JA;Graetz N;Bolliger I;Naghavi M;Higashi H;Mullany EC;Abera SF;Abraham JP;Adofo K;Alsharif U;Ameh EA;Ammar W;Antonio CA;Barrero LH;Bekele T;Bose D;Brazinova A;Catalá-López F;Dandona L;Dandona R;Dargan PI;De Leo D;Degenhardt L;Derrett S;Dharmaratne SD;Driscoll TR;Duan L;Petrovich Ermakov S;Farzadfar F;Feigin VL;Franklin RC;Gabbe B;Gosselin RA;Hafezi-Nejad N;Hamadeh RR;Hijar M;Hu G;Jayaraman SP;Jiang G;Khader YS;Khan EA;Krishnaswami S;Kulkarni C;Lecky FE;Leung R;Lunevicius R;Lyons RA;Majdan M;Mason-Jones AJ;Matzopoulos R;Meaney PA;Mekonnen W;Miller TR;Mock CN;Norman RE;Orozco R;Polinder S;Pourmalek F;Rahimi-Movaghar V;Refaat A;Rojas-Rueda D;Roy N;Schwebel DC;Shaheen A;Shahraz S;Skirbekk V;Søreide K;Soshnikov S;Stein DJ;Sykes BL;Tabb KM;Temesgen AM;Tenkorang EY;Theadom AM;Tran BX;Vasankari TJ;Vavilala MS;Vlassov VV;Woldeyohannes SM;Yip P;Yonemoto N;Younis MZ;Yu C;Murray CJ;Vos T
通讯作者：
Vos T
影响因子：
10.8
作者：
Syed SB;Dadwal V;Storr J;Riley P;Rutter P;Hightower JD;Gooden R;Kelley E;Pittet D
通讯作者：
Pittet D
影响因子：
15.1
作者：
Reader, Tom W.;Cuthbertson, Brian H.
通讯作者：
Cuthbertson, Brian H.
影响因子：
4.4
作者：
Singer SJ;Benzer JK;Hamdan SU
通讯作者：
Hamdan SU