Patient safety climate: variation in perceptions by infection preventionists and quality directors.
Patient safety climate: variation in perceptions by infection preventionists and quality directors.
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DOI：
10.1155/2011/357121
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发表时间：
2011-01-01
影响因子：
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通讯作者：
Larson, Elaine
中科院分区：
文献类型：
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作者：
Nelson, Shanelle;Stone, Patricia W;Larson, Elaine
背景医疗相关感染（HAI）是一个重要的患者安全问题，安全氛围是一个重要的组织因素。本研究探讨了感染预防专家（IP）和质量总监（QD）对两个安全小气候，高级管理人员参与（SME）和领导对患者安全（LOPS），在整个加州医院的看法。方法.这是对两项横向调查的分析。我们进行了Wilcoxon符号秩检验，单变量分析，和多变量普通最小二乘回归。结果有322家符合条件的医院; 149家医院（46.3%）对两项调查作出了答复。IP缓解率为59%，QD缓解率为79.5%。我们发现IP比QD更积极地感知SME（21.4 vs.20.4，P < 0.01）。没有设置特征预测的变化的看法。独立预算的存在预测了更积极的看法，不同类型的人员的小气候（P < 0.01）。结论.在急性医疗保健环境中，重要领导者之间的观念差异仍然存在，这可能对HAI等结果产生关键影响。为感染预防和控制部门提供独立的预算可能会改善整体安全环境，进而改善患者护理。
Background. Healthcare-associated infections (HAIs) are an important patient safety issue, and safety climate is an important organizational factor. This study explores perceptions of infection preventionists (IPs) and quality directors (QDs) regarding two safety microclimates, Senior Management Engagement (SME) and Leadership on Patient Safety (LOPS), across California hospitals. Methods. This was an analysis of two cross-sectional surveys. We conducted Wilcoxon signed-rank test, univariate analyses, and a multivariate ordinary least square regression. Results. There were 322 eligible hospitals; 149 hospitals (46.3%) responded to both surveys. The IP response rate was 59%, and the QD response rate was 79.5%. We found IPs perceived SME more positively than did QDs (21.4 vs. 20.4, P < 0.01). No setting characteristics predicted variation in perceptions. Presence of an independent budget predicted more positive perceptions of microclimates across personnel types (P < 0.01). Conclusions. Differences in perceptions continue to exist between essential leaders in acute health care settings which could have critical effects on outcomes such as HAIs. Having an independent budget for the infection prevention and control department may enhance the overall safety climate and in turn patient care.