|Abstract:||Background: Patient safety must be a priority of every employee in the health sector, regardless of occupational group and level of activity.
Objective: To compare the level of perception of patient safety culture among employees in General Hospital Jesenice between years 2010 and 2013.
Research Methodology: The questionnaire of Agency for Healthcare Research and Quality was used. The survey included 380 employees and the response rate was 91%. Statistical analysis was performed with SPSS 20.0 software IBM (IBM Corp., Armonk, NY). The percentage of positive, neutral and negative responses were calculated. The chi-square test was employed to examine the hypotheses. P-value <0.05 was considered as statistically significant. The effect size was determined by Cramer's V coefficient.
Results: Statistically significant differences were observed in the overall assessment of the positive responses of patient safety culture between 2013 (63.7%) and 2010 (53.9%) (χ2 = 4.991, p = 0.082, C - V 0.108), as well as in support of the top leadership, organizational learning, support of the management of departmental managers, the feedback and communication about errors, teamwork across hospital departments, non-punitive response to error, and the adequacy of the number and competence of the staff. Statistically significant improvements were observed in the professional group of registered nurses and nursing technicians in the domains of a non-punitive response to error and in the support of the top leadership. The same was found also in the group that was labelled other employees. The nursing technicians also showed improvement in teamwork across hospital departments. There were no statistically significant changes in professional group of physicians.Statistically significant improvements were found in the departments of internal medicine, surgery, anaesthesia, emergency room and other smaller units in the support of the top leadership. Significantly better results were observed as well in the following domains and departments: the surgical department - teamwork across hospital departments, non-punitive response to error, organizational learning; the emergency department – non-punitive response to error; smaller units – organizational learning and the department of anaesthesia – teamwork across hospital departments.In the department of gynaecology/obstetric, paediatric department, the department of radiology and the laboratory statistically significant improvements were not found, since their basic values in 2010 were relatively high and it was, therefore, more difficult to achieve the improvements.
Conclusion: The findings of this research showed significant improvement in the overall perception of safety culture in the hospital between 2010 and 2013, as well as improvements in certain domains in some professional groups and departments.|