The Safety Attitudes Questionnaire as a tool for benchmarking safety culture in the NICU.
The Safety Attitudes Questionnaire as a tool for benchmarking safety culture in the NICU.
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DOI：
10.1136/archdischild-2011-300612
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发表时间：
2012-03-01
期刊：
影响因子：
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通讯作者：
Thomas, Eric J
中科院分区：
文献类型：
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作者：
Profit, Jochen;Etchegaray, Jason;Thomas, Eric J
背景：新生儿重症监护室（NICU）的安全文化，如安全态度问卷（SAQ）所测量的，差异很大。与成人重症监护病房的临床结果的关联使SAQ成为比较医院间临床表现的有吸引力的工具。关于SAQ在NICU环境中用于此目的的信息很少。结论：为了确定SAQ测量的安全文化维度是否在用作NICU性能measure.METHODS时得到一致的结果：对12个NICU中的护理人员进行横断面调查，使用SAQ的六个量表：团队合作氛围、安全氛围、工作满意度、压力识别、管理和工作条件感知。通过量化NICU对各量表总体风险调整变异的贡献，对NICU进行排名。使用斯皮尔曼等级相关系数检验量表性能的一致性。然后，作者研究是否表现在前四名的NICU在一个规模预测前四名的表现在others.Results：有547名受访者在12个NICU。在15个NICU水平的相关性中，两个>0.7，七个在0.4和0.69之间，其余六个在0.7和0.69之间。
BACKGROUND: Neonatal intensive care unit (NICU) safety culture, as measured by the Safety Attitudes Questionnaire (SAQ), varies widely. Associations with clinical outcomes in the adult intensive care unit setting make the SAQ an attractive tool for comparing clinical performance between hospitals. Little information is available on the use of the SAQ for this purpose in the NICU setting.OBJECTIVES: To determine whether the dimensions of safety culture measured by the SAQ give consistent results when used as a NICU performance measure.METHODS: Cross-sectional survey of caregivers in 12 NICUs, using the six scales of the SAQ: teamwork climate, safety climate, job satisfaction, stress recognition, perceptions of management and working conditions. NICUs were ranked by quantifying their contribution to overall risk-adjusted variation across the scales. Spearman rank correlation coefficients were used to test for consistency in scale performance. The authors then examined whether performance in the top four NICUs in one scale predicted top four performance in others.RESULTS: There were 547 respondents in 12 NICUs. Of 15 NICU-level correlations in performance ranking, two were >0.7, seven were between 0.4 and 0.69, and the six remaining were