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Title:Kultura varnosti pacientov : primarno zdravstvo
Authors:ID Bogataj, David (Author)
ID Grabar, Daniel (Author)
ID Robida, Andrej (Author)
ID Toplak Perović, Barbara (Author)
ID Bogataj, Marija (Editor)
ID Mežnarec Novosel, Suzanna (Editor)
ID Rogelj, Valerija (Reviewer)
ID Kavšek, Marta (Reviewer)
Files:URL https://press.almamater.si/index.php/amp/catalog/book/110
 
.pdf MEORL_50_Kultura+varnosti_Primarno+zdravstvo_WEB.pdf (6,08 MB)
MD5: 10233A61DDC4555F9C2D68EDE985BD47
 
Language:Slovenian
Work type:Unknown
Typology:2.01 - Scientific Monograph
Organization:UAMEU - Alma Mater Europaea University
Abstract:Uvod: Metode ocenjevanja kulture varnosti pacientov v primarnem zdravstvenem varstvu omogočajo analizirati obnašanje strokovnjakov in zavezanost organizacij k neprekinjenemu zagotavljanju učinkovite in varne oskrbe, od trenutka, ko uporabnik vstopi vstoritev, do tedaj, ko je iz teh postopkov odpuščen.Cilj jeoblikovati orodja za analizo varnosti pacientov v primarnem zdravstvenem varstvu in pokazati, kaj z uporabo teh orodij lahko sklepamo o kulturi varnosti pacientov v slovenskem primarnem zdravstvu ter čemu je potrebno posvetiti vbodoče več pozornosti.Material in metoda: Najprej je podan nabor uveljavljenih orodij za primerjavo ocenjevanja kulture varnosti pacientov v osnovnem zdravstvu vsvetu, nato pa je izpeljan vprašalnik, ki bi bil primeren za ocenjevanje kulture varnosti pacientov v primarnam zdravstvu pri nas. Na temelju le-tega je bilo izpeljano anketiranje po enotah primarnega zdravstva in izvedena analiza odgovorov pretežno po Likertovi lestvici. Opisni statistiki s tabelami in grafi sledi testiranje ocen kulture varnosti vcelotnem slovenskem zdravstvenem sistemu z uporabo hi-kvadrat in Z+4 testov. Monografija je bila zaključena leto in pol po zaključku podprojeta z istim naslovom. Prečna raziskava, izvedena v enotah osnovnega zdravstvenega varstva je potekala v obdobju 1.10.2022 -30.9.2024 in je vključevala tako pregled svetovne literature in prakse, kot tudi analizo anket, izvedenih v enotah primarnega zdravstva v Sloveniji med zdravstvenimi delavci. Oblikovanje anketnih vprašanj je temeljilo na poglobljenih intervjujih, ki so pomagali oblikovati podrobnejša vprašanja v anketi. Podatki so bili analizirani v skladu s priporočili v mednarodni literaturi in v skladu z izkušnjami lokalnih zdravstvenih delavcev.Rezultati:Glede na ranžirno vrsto ocen trditev v anketi, študija podaja predlog za izvedbo naslednjih ukrepov v skladu s to ranžirno vrsto od najpomembnejšega (a) naprej do (h): (a) zagotovitev zadostne kadrovske strukture, (b) znižanje utrujenosti osebja, (c) opogumiti osebje, da spregovori o zaznanih nevarnostih za paciente, (d) zmanjšati je potrebno delovne obremenitve tam, kjer se ocenjuje, da so prevelike, (e) vodstvo naj bolj podpira vsakodnevne napore podrejenih, (f) Izogibati se je potrebno napetih in sovražnih situacij. (g) smiselno je konstruktivno obravnavati težavno osebje, (h) znižati je potrebno motnje v sporazumevanju, zaradi katerih prihaja do zamud pri oskrbi pacientov.Sklep:Rezultati so pokazali uspešnost oblikovanja in izvajanja anket, sama monografija pa še izpostavlja, da je pričakovati, da bo v prihodnjih letih tovrstne raziskave in prakso oblikovalo več specialnih usmeritev in novih trendov, ki bodo temeljili tudi na novih tehnologijah. Pričakuje se, da bo vse večji poudarek na sodelovanju bolnikov in družin kot aktivnih partnerjev pri spodbujanju varnosti v ustanovah primarnega zdravstvenega varstva, kot to narekuje tudi WHO, zato velja vbodoče preučiti tudi strategije za vključevanje bolnikovih stališč in povratnih informacij družinskih članov v pobude za varnost.
Keywords:kultura varnosti, pacienti, aktuarska matematika
Place of publishing:Maribor
Place of performance:Maribor
Publisher:Univerza Alma Mater Europaea, Alma Mater Press, Zavod INRISK
Year of publishing:2025
Year of performance:2025
Number of pages:1 spletni vir (1 datoteka PDF (123 str.))
PID:20.500.12556/ReVIS-13196 New window
COBISS.SI-ID:231206659 New window
ISBN:978-961-7183-68-9
UDC:614.253
Note:Nasl. z nasl. zaslona; Opis vira z dne 13. 1. 2026;
Publication date in ReVIS:19.02.2026
Views:100
Downloads:2
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Secondary language

Language:English
Title:Patient safety culture : = primary healthcare
Abstract:Introduction:Methods for assessing patient safety culture in primary health care allow us to analyze the behavior of professionals and the commitment of organizations to continuously provide effective and safe care from the moment the user enters the service until they are discharged from these procedures. Objective: To design tools for analyzing patient safety in primary health care and to show what we can conclude about the patient safety culture in Slovenian primary health care by using these tools and what needs to be paid more attention to in the future. Material and methods: First, a set of established tools for comparing the assessment of patient safety culture in primary health care was presented based on the international literature and practice, and a questionnaire was developed that would be suitable for assessing the patient safety culture in primary health care in Slovenia. Based on this, a survey was conducted by primary health care institutions, and the responses were analyzed mainly using the Likert scale. Descriptive statistics with tables and graphs are followed by hypothesis testing using the chi-square and Z+4 tests. The monograph was completed a year and a half after the completion of the sub-project with the same title. The cross-sectional study, conducted in primary health care units, took place in the period 1.10.2022 -30.9.2024 and included both a review of global literature and practice, as well as an analysis of surveys conducted in primary health care units in Slovenia among health professionals. The design of the survey questions was based on in-depth interviews, which helped to design more detailed questions in the survey. The data were analyzed in accordance with recommendations in international literature and in accordance with the experiences of local health professionals. Results:Given the ranking of the statements in the survey, the study proposes the implementation of the following measures in accordance with this ranking from (a) to (h): (a) ensuring a sufficient staff structure, (b) reducing staff fatigue, (c) encouraging staff to speak up about perceived risks to patients, (d) reducing workloads where they are assessed to be excessive, (e) management should be more supportive to the daily efforts of subordinates, (f) avoiding tense and hostile situations. (g) it is advisable to deal constructively with difficult staff, (h) reducing communication disruptions that lead to delays in patient care. Conclusion:The results showed the success of designing and implementing the surveys, and the monograph itself highlights that it is expected that in the coming years, such research and practice will be shaped by more special directions and new trends, which will also be based on new technologies. It is expected that there will be an increasing emphasis on the participation of patients and families as active partners in promoting safety in primary health care settings, as dictated by the WHO, therefore strategies for incorporating patient views and family feedback into safety initiatives should also be explored in the future.


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