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العنوان
The Relationship between Patient Safety Indicators and Safety Climate in General Hurghada Hospital =
المؤلف
Abd El Hady, Wafaa Ahmed.
هيئة الاعداد
باحث / Wafaa Ahmed Abd El Hady
مشرف / Gehan Gala El Bialy
مشرف / Rehab Gamel Hussein
مناقش / Neamate Mohamed El Sayed
مناقش / Wafaa Waheeb Guirguls
الموضوع
Nursing Administration.
تاريخ النشر
2017.
عدد الصفحات
86 p. :
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
القيادة والإدارة
تاريخ الإجازة
1/1/2017
مكان الإجازة
جامعة الاسكندريه - كلية التمريض - Nursing Administration
الفهرس
Only 14 pages are availabe for public view

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from 126

Abstract

Hospitals with strong safety climates prioritize safety and integrate safety climate measures into the daily functioning of the organization and individuals they work within it. However, there is a lack of standardized terminology or methodology for identifying patient safety problems, facing health care providers daily during their routine work in a hospital. Hence, there are essential needs to integrate a valid, reliable standard for healthcare givers in their routine work such as, Patient Safety Indicators (PSIs) to shed light on the problem of medical and nursing errors and help in patient safety.
Safety climate is identified as a key determinant of the ability of health care organizations to address and reduce risks to patients. This is due to the fact that medical care initiatives to improve and measure safety climate have proliferated. Patient safety climate in healthcare organizations (PSCHO) survey, like the vast majority of surveys, examines four key factors that help achieving safe workplaces. These include organizational, normative work unit, individual/ interpersonal and provision of safe care.
The patient safety indicators (PSIs) (2002) were developed by the Agency for Healthcare Research and Quality (AHRQ), and were introduced as a tool for tracking and improving patient safety. There are 20 PSIs for tracking possible surgical complications and other noscomial events, screening for potential problems experienced by patients, resulting from exposure to the health care system and likely amenable to prevention by changes at the level of the system.
In the current study, five patient safety indicators will be assessed as these indicators highlight the most common errors found at the medical and surgical departments in the multi-specialty hospital where the study will be conducted based on the researcher’s observation. These indicators are decubitus ulcer, selected infection due to medical care, postoperative hemorrhage, postoperative sepsis and transfusion reaction.
The study aims to:
Examine the relationship between patient safety indicators (PSIs) and safety climate at the General Hurghada Hospital through:
1. Measuring decubitus ulcer indicator, selected infection due to medical care indicator, postoperative haemorrhage indicator, postoperative sepsis indicator and transfusion reaction indicator.
2. Assessing patient safety climate as perceived by healthcare providers.
Research question:
What is the relationship between patient safety indicators (PSIs) and safety climate at the General Hurghada hospital?
Materials and Method:
Research Design:
A descriptive correlational design was used to conduct this study.
Setting:
The study was conducted in the General Hurghada Hospital, affiliated to the Ministry of Health. The units included in the study are all multi-specialty inpatient units (N=6) as follows: intensive care unit (ICU), Coronary care unit (CCU), private unit, health insurance unit, male unit and female unit.
Subjects
The subjects of the study included:
1. All physicians (N=94) who were available and accepted to share in the study during the time of data collection and all nurses (N=47) who were available and accepted to share in the study and working in the previously mentioned units.
2. All medical and surgical patients (N=953) aged 18 years and above were available during time of data collection for a period of one year from (15/3/2015) to (15/3/2016) to analyze the selected PSIs.
Tools
Two tools were used in this study:
Tool one: Patient Safety Climate in Healthcare Organizations Questionnaire (PSCHO): (Appendix I)
Patient Safety Climate in Healthcare Organizations Questionnaire (PSCHO) was developed by Gaba et al. (2003) to assess physicians’ and nurses’ perception of hospital safety climate. It includes 38 items classified into four factors measuring nine dimensions of patient safety climate namely:
Organizational factor (13 items) includes three dimensions, normative work unit factor (11 items) consists of two dimensions, individual/ interpersonal factor (10 items) includes three dimensions, provision of safe care factor (4 items).
Responses were measured on a 5-Point–Likert Scale ranging from strongly agree (5) to strongly disagree (1).
In addition, a demographic characteristics’ sheet was developed by the researcher. This included questions for both physicians and nurses about: sex, age, educational level, years of experience, specialty for physicians, clinical work area for nurses.
Tool two: Patient safety indicators observation check list: (Appendix II)
Patient safety indicators observation cheek list was developed by the researcher based on a review of the current related literature to asses patient safety indicators in hospital using the international code number for every indicator.
It assessed five PSIs (decubitus ulcer cod no 3, selected infection due to medical care code No.7, postoperative hemorrhage code No.9, postoperative sepsis code No. 9 and transfusion reaction code No.16).