|Opis:||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. |