Patient safety culture during the COVID-19 pandemic at the University Hospital for Infectious Diseases „Dr. Fran Mihaljević“

Uvod: Svjetska zdravstvena organizacija definira sigurnost pacijenata kao „prevenciju, otklanjanje i unapređenje zaštite od neželjenih događaja tijekom procesa zdravstvene skrbi“. Sigurnost bolesnika važno je javnozdravstveno pitanje i najpouzdaniji indikator kvalitete zdravstvenog sustava. Ispitanici i metode: U istraživanju je sudjelovalo ukupno 228 ispitanika – stopa odgovora iznosi 61,13 %. Upitnik korišten u ovom radu jest Upitnik o kulturi bolesnikove sigurnosti u bolnici. Upitnikom se ispituju stavovi zdravstvenih djelatnika o bolesnikovoj sigurnosti, pogreškama u liječenju te o izvještavanju o neželjenim događajima u bolnici. Distribucije kvantitativnih podataka analizirane na normalnost Smirnov-Kolmogorovljevim testom pokazale su da distribucija nije normalna, stoga su u analizi korišteni neparametrijski analitički postupci. Distribucije kvalitativnih podataka analizirane su Fisherovim egzaktnim testom. Rezultati su interpretirani na 5 %-tnoj razini značajnosti. Rezultati: Na razini Klinike, većina dimenzija imala je visoku razinu, osim dimenzije Popunjenost osobljem. Najviša je izmjerena snaga u dimenzijama Timski rad unutar odjela i Očekivanja rukovoditelja i aktivnosti koje promiču bolesnikovu sigurnost. Rasprava: Iako se kao Klinika za infektivne bolesti pronašla na prvoj liniji obrane od novog koronavirusa, zajedno sa svojim djelatnicima pokazala je izvrsnost u novonastaloj situaciji borbe s novom bolesti. Zaključak: Visoka je razina sigurnosti bolesnika u Klinici za infektivne bolesti „Dr. Fran Mihaljević“. Osim kontinuiranog truda da se visoka razina i dalje održava, važno je zapošljavanje zdravstvenih djelatnika kako bi se poboljšala popunjenost osobljem.Introduction: The World Health Organization defines patient safety as a health care discipline that aims to prevent and reduce risks, errors, and harm that occurs to patients during the provision of health care. Patient safety is an important public health issue and the most reliable indicator of the quality of the healthcare system. Participants and Methods: A total of 228 respondents participated in the study with a response rate of 61.13%. The questionnaire used in this paper is the Hospital Survey on Patient Safety Culture reporting in the hospital. The questionnaire examines the attitudes of health professionals about patient safety, treatment errors, and reporting on adverse events in the hospital. Distributions of quantitative data analyzed for normality by the Smirnov-Kolmogorov test showed that the distribution was not normal, therefore, nonparametric analytical procedures were used in the analysis. The results were interpreted at a 5% level of significance. Results: At the Clinic level, most dimensions had a high level of patient safety culture, except for the dimension Staffing. The most measured strength is in dimensions of Teamwork within units, Supervisor/manager expectations, and actions promoting safety. Discussion: Although a Clinic for Infectious Diseases found itself on the front line of defense against the new coronavirus, together with its staff, it has shown its excellence in the emerging situation of fighting the new disease. Conclusion: There is a high level of patient safety in the University Hospital for Infectious Diseases „Dr. Fran Mihaljević“. In addition to continuous efforts to keep the high level at bay, it is important to recruit health professionals to improve staffing