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Title:KULTURA VARNOSTI V UNIVERZITETNEM KLINIČNEM CENTRU LJUBLJANA
Authors:ID Jerič, Aleksandra (Author)
ID Gomišček, Boštjan (Mentor) More about this mentor... New window
ID Meden Vrtovec, Helena (Co-mentor)
Files:.pdf UNI_Jeric_Aleksandra_2012.pdf (618,64 KB)
MD5: 3388E014B9EEBD645E2A7B6A2078690C
PID: 20.500.12556/dkum/c5590a0b-e629-499b-bc6c-8e08ad029d99
 
Language:Slovenian
Work type:Undergraduate thesis (m5)
Organization:FOV - Faculty of Organizational Sciences in Kranj
Abstract:Diplomsko delo obravnava zaznavanje varnostne kulture v Univerzitetnem kliničnem centru Ljubljana. V delu smo s pomočjo teorije in metodologije Agencije za raziskave in kakovost zdravstvene obravnave (AHRQ) ugotavljali zaznavanje varnostne kulture v Univerzitetnem kliničnem centru Ljubljana. V empiričnem delu diplomskega dela smo po metodologiji AHRQ opisali pridobljene rezultate anket o zaznavanju varnostne kulture, ki so bile izvedene leta 2009/10 in 2010/11 v Univerzitetnem kliničnem centru Ljubljana. Pri analizi in interpretaciji rezultatov smo ugotovili, da so bila najnižje ocenjena področja Timsko delo med bolnišničnimi enotami, Predaja pacientov in premestitve znotraj bolnišnice in Podpora vrhnjega vodstva za varnost pacientov. V Univerzitetnem kliničnem centru Ljubljana nekoliko boljše rezultate izkazujejo na naslednjih področjih: Celokupno zaznavanje varnosti, Učeča se organizacija in Timsko delo v bolnišničnih enotah. Anketiranci so v komentarjih pohvalili vodstvo Univerzitetnega kliničnega centra Ljubljana za začetek izvajanja izobraževanj na področju kulture varnosti. Na podlagi podanih komentarjev je razvidno, da si zaposleni želijo okolja, kjer se prijavitelja dogodka ne obtožuje, ampak se dogodek analizira ter najde primerna rešitev,ki se predstavi vsem zaposlenim. Nekateri so se posebej pohvalili, da dobro skrbijo za varnost pacientov; to potrjuje tudi podatek, da 56 % zaposlenih meni, da nimajo težav z varnostjo bolnikov, in 59 % pa varnosti bolnikov nikoli ne žrtvuje zato, da bi lahko naredili več. S pomočjo t–testa smo ugotovili, da ni statistično pomembnih razlik med posameznimi sklopi med leti 2009/10 in 2010/11. Z izračunom enojne analize variance smo ugotovili, da so leta 2009/10 obstajale statistično pomembne razlike med različnimi poklicnimi kategorijami anketirancev (medicinske sestre, zdravniki in ostali) pri enajstih sklopih. Leta 2010/11 pa so se kategorije med seboj poenotile in so bile statistično pomembne razlike le pri dveh sklopih. Ključna področja izboljšav: z dodatnimi raziskavami ugotoviti dejavnike, ki ovirajo medoddelčno sodelovanje in na podlagi tega uvesti izboljšave, evalvirati učinek že uvedenih izboljšav glede predaje pacientov, ponovna izvedba kampanje na temo varnosti pacientov. V okviru te kampanje bi bilo koristno, da bi uprava UKCL izvedla varnostne vizite na vseh klinikah UKCL.
Keywords:Kakovost, Kultura varnosti, Kultura varnosti pacientov, AHRQ
Year of publishing:2012
Source:Maribor
PID:20.500.12556/DKUM-37294 New window
COBISS.SI-ID:7063827 New window
NUK URN:URN:SI:UM:DK:DQKCQ3IH
Publication date in DKUM:02.10.2012
Views:2412
Downloads:435
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Categories:FOV
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Secondary language

Language:English
Title:SAFETY CULTURE AT UNIVERSITY MEDICAL CENTRE LJUBLJANA
Abstract:This thesis examines the perception of safety culture in the University Medical Centre Ljubljana (UMCL). Based on the theory, as well as on the methodology that derives from the Agency for Healthcare Research and Quality (ARHQ), the thesis addresses the perception of the safety culture in the UMCL. The AHRQ methodology was utilized in the empirical part of the thesis, in order to analyse the data that concern the safety culture. Data are based on the survey which was conducted in the year 2009/10, as well as in the year 2010/11. The results of the study showed that the following safety culture dimensions were considered as the weakest from the respondents’ perspective: Teamwork across units, Handoffs and transitions and Management support for patient safety. On the other hand, respondents agreed that the following areas of the safety culture are performed well: Overall perception of patient safety, Organizational learning - continuous improvement, Teamwork within units. According to the results, a majority of comments that reflect the respondents’ opinion were associated with a positive attitude towards leadership of the UMCL. These comments were in first place related to the beginning of the implementation of the safety culture related training. The results have shown that respondents want to work in an environment where incident reporting does not lead to a guilty conscience. In contrary, respondents expressed a preference towards analysing an event, finding a proper solution, as well as presenting the solution to all employees. Some of the employees have also expressed their positive attitude towards safety culture, as demonstrated by the fact that 56% of respondents believe that they have no problems with the patient safety. In addition, 59% of respondents have said that they would never sacrifice the safety of a patient, to be able to do more. The results of a t-test showed that there are no statistically significant differences between the data collected during the years of 2009/10 and 2010/11. The results of the one-way analysis of variance (ANOVA) revealed that there were statistically significant differences between different survey categories (nurses, doctors, other staff), as found for the year 2009/10. However, the results for the year 2010/11 showed that within only two dimensions of the safety culture seems to be a statistically significant difference considering these three occupational categories. Key areas for improvement include: identification of specific factors which hinder cross-unit cooperation, implementation of improvements based on the finding of the aforementioned analysis, evaluation of the effects of implemented improvements related to the patient transfers, as well as conduction of a patients safety awareness campaigns. It would be beneficial, if the UMCL management would conduct hospital rounds as a part of this campaign.
Keywords:Quality, Safety culture, Patient safety culture, AHRQ


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