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.
Koncept geodiverzitete obstaja že več kot 20 let. Večina metod vrednotenja geodiverzitete se uporablja za ugotavljanje geokonzervatorskega ali geoturističnega potenciala. Metode, s katerimi bi lahko ...vrednotili izobraževalni potencial geodiverzitete, so zelo redke. Glavni cilj našega članka je podati novo metodo vrednotenja geodiverzitete za določanje izobraževalnega potenciala proučevanega območja. Metoda je uporabna za učne namene, ko učitelji načrtujejo organizacijo strokovnih ekskurzij ali terenskega dela.
Množično samoanketiranje v praksi Jernej Tiran; Matjaž Geršič; Jani Kozina ...
Dela (Univerza v Ljubljani. Oddelek za geografijo),
08/2021
52
Journal Article
Peer reviewed
Open access
Načrtovanje in izvedba anketne raziskave sta zelo kompleksna procesa. Spremljajo ju številni izzivi, ki pomembno vplivajo na uspešnost anketne raziskave. To velja tudi za samoanketiranje, kjer proces ...odgovarjanja poteka brez prisotnosti anketarja. Namen prispevka je osvetliti izbrane, doslej slabše raziskane metodološke vidike samoanketiranja: izbor načina anketiranja, stopnja sodelovanja, varovanje osebnih podatkov ter stroški in logistika. Rezultati temeljijo na primerjalni analizi štirih samoanketiranj z zelo velikimi vzorci, izvedenih med letoma 2012 in 2017. Na podlagi ugotovitev smo oblikovali nekaj metodoloških priporočil, ki so snovalcem in izvajalcem anketiranj lahko v pomoč pri načrtovanju in izvedbi raziskave.
Der Schutzgegenstand personenbezogener Daten gemäß Art. 4 Nr. 1 DS-GVO wird auf den Schutz der kontext-spezifischen personalen Identitäten erweitert. In Anbetracht der gleichzeitigen Realisierung ...etwa der kulturellen, wirtschaftlichen und sozialen Identität bedarf es eines spiegelbildlichen Identitätsschutzes aus dem offline-Kontext für den online-Kontext. Dies verlangt die spieltheoretisch begründete Verhandlungsfähigkeit der Bilder personaler Identitäten, damit sich der Selbstdatenschutz mit einem Mediationsagenten wirksam ausüben lässt. Demnach sollte ein iteratives „identity management by design“ zur technischen Gestaltungsanforderung werden, um dem Prinzip einer verhandlungsfähigen personalen Identität im Online-Kontext gerecht zu werden.
Članek prikazuje nov objektiven sistematičen pristop vrednotenja geodiverzitete na primeru območja med Kočevsko Reko in Kostelom. Metoda temelji na prostorski raznolikosti in gostoti elementov ...geodiverzitete ter obenem upošteva razgibanost površja. Metodo smo aplicirali na območju kontaktnega krasa, kjer smo evidentirali vroče točke geodiverzitete. Metodo smo na podlagi evalvacije ocenili kot primerno za vrednotenje geodiverzitete.
Type 2 diabetes (T2D) and arterial hypertension (AH) are among the greatest challenges facing health systems worldwide and require comprehensive patient-centred care. The key to successful management ...in chronic patients is self-management support, which was found to be only weakly implemented in Slovenia. The aim of the study is to develop an evidence-based model of peer support for people with T2D and AH at the primary healthcare level in Slovenia, which could represent a potential solution for upgrading integrated care for these patients.
A prospective interventional, mixed-methods pilot study will begin by recruiting approximately 40 eligible people with T2D and AH through purposive sampling. The participants will receive structured training, led by a specialist nurse, to become trained peer supporters. Each will voluntarily share their knowledge and experience at monthly group meetings with up to 10 people with T2D and AH over a three-month period in the local community. Data will be collected through interviews and focus groups and questionnaires about socio-demographic and clinical data, knowledge about T2D and AH, participants' quality of life, level of empowerment and acceptability of the intervention.
The study will provide an evidence-based model for integrating peer support into the local community. It is expected that the intervention will prove feasible and acceptable with educational, psychosocial and behavioural benefits.
Peer support through empowerment of people with T2D and AH, family members and other informal caregivers in the local community could scale-up the integrated care continuum and contribute to sustainability of the healthcare system.
Telemonitoring improves clinical outcomes in patients with arterial hypertension (AH) and type 2 diabetes (T2D), however, cost structure analyses are lacking. This study seeks to explore the cost ...structure of telemonitoring for the elderly with AH and T2D in primary care and identify factors influencing costs for potential future expansions.
Infrastructure, operational, patient participation, and out-of-pocket costs were determined using a bottom-up approach. Infrastructure costs were determined by dividing equipment and telemonitoring platform expenses by the number of participants. Operational and patient participation costs were determined by considering patient training time, data measurement/review time, and teleconsultation time. The change in out-of-pocket costs was assessed in both groups using a structured questionnaire and 12-month expenditure data. Statistical analysis employed an unpaired sample t-test, Mann-Whitney U test, and chi-square test.
A total of 117 patients aged 71.4±4.7 years were included in the study. The telemonitoring intervention incurred an annual infrastructure costs of €489.4 and operational costs of €97.3 (95% CI 85.7-109.0) per patient. Patient annual participation costs were €215.6 (95% CI 190.9-241.1). Average annual out-of-pocket costs for both groups were €345 (95% CI 221-469). After 12 months the telemonitoring group reported significantly lower out-of-pocket costs (€132 vs. €545, p<0.001), driven by reduced spending on food, dietary supplements, medical equipment, and specialist check-ups compared to the standard care group.
To optimise the cost structure of telemonitoring, strategies like shortening the telemonitoring period, developing a national telemonitoring platform, using patient devices, integrating artificial intelligence into platforms, and involving nurse practitioners as telemedicine centre coordinators should be explored.
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