Patient safety is a crucial element of quality healthcare, and endeavours to enhance it are vital for attaining universal health coverage and improving patient outcomes. This study aimed to evaluate ...the perception of patient safety culture among staff at the Community Health Centre Ljubljana (CHCL).
A cross-sectional study was conducted in December 2022. All CHCL staff (N=1,564) from different professional groups were invited to participate in an anonymous electronic survey using the validated Slovenian version of the "Medical Office Survey on Patient Safety Culture" (MOSPSC). Mean percent positive scores for all items in each composite were calculated.
The final sample included 377 participants (response rate, 24.1%), most of whom were women (91.5%, N=345) with different professional profiles. The mean age of the participants was 44.5 years (SD 11.1) with a mean work experience of 20.1 years (SD 12.1). The percentage of positive overall MOSPSC composite scores was 59.6%. A strong patient safety culture perception was identified in the following dimensions: Information exchange with other settings (93.5%), Organisational learning (90.2%), List of patient safety and quality issues (88.1%), Patient care tracking/follow-up (76.2 %) and Teamwork (75.0%). Weak patient safety culture was identified in the dimensions of Work pressure and pace (10.7%), Leadership support for patient safety (27.1%), Communication openness (40.9%), Office processes and standardisation (48.2%) and Overall ratings on quality and patient safety (49.4%).
CHCL leadership should address weaknesses, redesign processes, and implement strategies to reduce patient safety incidents. Establishing a just culture that encourages employees to report errors fosters transparency and facilitates learning from errors.
This book analyses whether the EU’s drift towards European strategic autonomy presents a challenge or a window of opportunity for its small member states to advance their security interests. The ...volume presents small states’ perceptions of European strategic autonomy, highlighting their expectations and concerns. The chapters focus on the depth and breadth of European strategic autonomy, national security considerations, assessment of the impact on transatlantic relations, the expected outputs, and its potential impact on the EU’s institutional structure. It also shows how systemic circumstances and the interests of powerful states, either belonging to the EU (France, Germany, and Poland) or having a significant say in European security architecture (the US), establish opportunities and constraints for the small states to shape European strategic autonomy. In particular, the study focuses on the diverging interests of the Baltic states (Estonia, Latvia, and Lithuania), Belgium, Denmark, Greece, Hungary, and the Netherlands. It demonstrates that, in most cases, European strategic autonomy is perceived not as an alternative to NATO but as a supplementary element that could facilitate the development of national military capabilities, indigenous defence industries and resilience to non-military threats. Ultimately, the book suggests that national approaches towards European strategic autonomy mainly stem from pragmatic national security and foreign policy considerations, while largely ignoring grand strategic ideas. This book will be of much interest to students of European politics, security studies, and international relations. The Open Access version of this book, available at www.taylorfrancis.com, has been made available under a Creative Commons Attribution-Non Commercial-No Derivatives 4.0 license.
This book explores the different methodologies and data used to understand climate's effect on food security. It explains the nature of the climate threat, ways that crops and farmers might respond, ...and the potential role for public and private investment.
Uvod: Klinični mentorji v zdravstveni negi potrebujejo sodobno znanje in veščine za prenos znanj na študente pri kliničnem usposabljanju. Namen raziskave je bil ugotoviti pogled in znanje o varnosti ...pacientov pri kliničnih mentorjih Fakultete za zdravstvo Jesenice (FZJ).
Metode: Uporabljen je bil preveden vprašalnik Svetovne zdravstvene organizacije o razumevanju varnosti in znanju o varnosti pacientov s priložnostnim vzorcem kliničnih mentorjev, ki so se udeležili delavnice o izboljševanju kakovosti v zdravstvu v organizaciji FZJ, odzivnost je bila 52 % (n = 36). Obdelava podatkov je bila narejena s statističnim programom SPSS verzija 20 z uporabo Kruskal-Wallisovega testa in binarne logistične regresije.
Rezultati: V sklopu osebnega odnosa do varnosti pacientov je bilo pozitivnih odgovorov preko 90 %. Rezultati ocene lastnega znanja o varnosti pacientov, varnosti zdravstvenega sistema, vpliva posameznika na varnost pa niso dosegli ravni, ki bi zagotavljala dobro varnost pacientov – odstotek pravilnih odgovorov za vseh enajst tem o znanju varnosti pacientov je bil 25,5 %. Delovna doba v sedanjem poklicu in število ur predhodnega formalnega izobraževanja niso napovedovale verjetnosti dobrega celokupnega znanja o varnosti pacientov (x2 (4, N = 31) = 8,83, p = 0,07).
Diskusija in zaključek: Rezultati raziskave so pokazali pomanjkljivo znanje o varnosti pacientov pri kliničnih mentorjih. Pri kliničnih mentorjih zdravstvene nege je potrebno usposabljanje s področja varnosti pacientov.
Patient safety is one of the key aspects of healthcare quality and a serious global public health concern. Patient safety culture is a part of the patient safety concept. In Slovenia, primary care is ...easily accessible, and for medical care, it serves as a gatekeeper to hospital care. For several years, the quality and safety at the primary healthcare level have been the focus of several studies. The present study aimed to assess patient safety culture among all employees of the Community Health Centre Ljubljana.
We conducted a cross-sectional study in 2017 using the Slovene version of "Medical Office Survey on Patient Safety Culture" from the Agency for Healthcare Research and Quality. Mean percent positive scores on all items in each composite were calculated according to a user guide.
The final sample contained 1021 participants (67.8% response rate), of which 909 (89.0%) were women. The mean age of the sample was 43.0±11.0 years. The dimensions most highly rated by the respondents were: teamwork and patient care tracking/follow-up. The lowest scores came from leadership support for patients' safety and work pressure and pace.
Patient safety culture in the Community Health Centre Ljubljana is high, but there are certain areas of patient safety that need to be evaluated further and improved. Our study revealed differences between professions, indicating that a customized approach per profession group might contribute to the successful implementation of safety strategies. Patient safety culture should be studied at national levels.
Future nurses should possess the knowledge and competences necessary to ensure patient safety. However, little evidence is available on the way in which students learn patient safety-related ...principles over time. This study explored the progress of a cohort of Italian undergraduate nursing students as they acquired patient safety knowledge and competences from time of enrolment to graduation.
A longitudinal study carried out between 2015 and 2018 enrolled a cohort of 90 nursing students from two Italian Bachelor of Nursing Science Degree Courses at the Udine University, Italy. The students were followed-up on an annual basis and data collection was performed three times: at the end of the 1st, 2nd and 3rd years. The validated Italian version of the Professional Education in Patient Safety Survey tool was used to collect data.
At the end of the 1st year, students reported an average 4.19 out of 5 patient safety knowledge acquired in classrooms (CI 95%, 4.11-4.28), which was stable at the end of the 2nd (4.16; CI 95%, 4.06-4.26) and 3rd years (4.26; CI 95%, 4.16-4.32) and no statistical differences emerged over the years. With regard to the competences acquired in clinical settings, at the end of the 1st year the students reported an average 4.28 out of 5 (CI 95%, 4.20-4.37), which decreased significantly at the end of the 2nd year (4.15; CI 95%, 4.07-4.23; p=0.02) and increased at the end of the 3rd year (4.37; CI 95%, 4.27-4.47; p<0.01).
Nursing students' competences in patient safety issues increases over time, while their knowledge remains stable. Students are more vulnerable at the end of the 1st year, when they seem to be overconfident about patient-safety issues.
Tema prispevka so potovalne navade mladih v Sloveniji v zadnjih tridesetih letih in poskus pojasnitve razlogov za njihove popolnoma spremenjene potovalne vzorce. V prispevku se osredotočamo na ...potovalne navade osnovnošolcev, ki so posebna skupina udeležencev v prometu in uporabnikov mestnega prostora. Primerjamo podatke iz let 1991, 2001 in 2016 o potovalnih navadah osnovnošolcev, lastništvu osebnih avtomobilov, lokacijah osnovnih šol in velikosti šolskih okolišev ter prometni ureditvi v okolici osnovnih šol. V prispevku ugotavljamo, da rezultati v Sloveniji sovpadajo z ugotovitvami iz tujine. Velike spremembe v potovalnih vzorcih otrok časovno sovpadajo z intenzivno motorizacijo slovenskih mest, ki je dosegla večje razsežnosti kot v marsikateri razvitejši državi. Povečano lastništvo avtomobilov se kaže v njihovi povečani rabi. Aktivnosti, ki trenutno potekajo na šolah na področju urejanja prometa, ne prispevajo k ustavitvi tega trenda. Potrebna bo sprememba v paradigmi prometne varnosti. Ukvarjanje z mobilnostjo otrok mora postati del celostnega prometnega načrtovanja, ki si mora prizadevati za zmanjšanje in umirjanje osebnega motornega prometa v okolici šol z vzpostavljanjem razmer, ki niso prijazne uporabi osebnih motornih vozil in spodbujajo varno rabo aktivnih alternativ.
Asks why intelligence is it so hard to define, and why there is no systematic theory of intelligence. Systematically develops a new concept of intelligence as a cognitive activity that needs to be ...understood holistically. Shows how classic intelligence analysis is based on an inference between history and the future – and this has led to a restriction in how we can perceive new threats, and new variations of threats. Rethinks intelligence analysis, arguing that good intelligence is based on understanding the threats that appear beyond our experience, and are therefore the most dangerous to society.
The Safety Attitudes Questionnaire (SAQ) is among the most frequently cited tools for measuring safety culture in healthcare settings. Its ambulatory version was used in this study. The aim was to ...assess safety culture in out-of-hours (OOH) family medicine service and its variation across job positions, regions, and respondents' demographic characteristic.
A cross-sectional observational study was carried out targeting 358 health professionals working in the 29 largest Croatian healthcare centres providing out-of-hours family medicine service. The response rate was 51.7% (185 questionnaires). The questionnaire comprised 62 Likert items with 5 responses (fully disagree to fully agree). Scores of negatively worded items were reversed before analysis. Scores on the total scale and subscales were calculated as additive scores. The study included demographic data on gender, age, working experience, and job position. Repeated measurement analysis of variance was used to assess variation of Safety Attitudes Questionnaire - Ambulatory Version (SAQ-AV) sub-scales.
Nurses assessed safety culture higher than did physicians and residents. Teamwork climate had higher scores than Ambulatory process of care and Organizational climate. Stress recognition and Perceptions of workload had the lowest overall scores. Variation across gender, age, working experience, and region was not statistically significant.
SAQ-AV can be used to identify areas for improvement in patient safety at OOH GPs. There is a need to improve staffing and support for OOH GP residents. Further research is needed in order to gain better understanding of factors influencing observed variations among job positions.
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