SỰ CẢI THIỆN VĂN HÓA AN TOÀN NGƯỜI BỆNH TẠI BỆNH VIỆN QUẬN 4 SAU 4 THÁNG CAN THIỆP

Abstract

Question. A culture of patient safety is a very important part of improving healthcare quality, serving as the foundation of patient safety and reducing medical errors. District 4 Hospital attracts a large number of patients for medical examination and treatment, contributing to solving the overcrowded burden of the last-level hospitals. However, according to the data on the reported rate of medical errors and incidents at District 4 Hospital in recent years, it is not high, lower than domestic and international reports, and there are incidents that have been detected is not due to reporting. Research subjects and methods. Study to evaluate intervention before and after from January 2021 to December 2021. Sampling all medical staff working in 18 departments/rooms at District 4 Hospital. Intervention program in the area of ​​incident reporting frequency on 5 contents. Evaluate and compare changes in patient safety culture after and before the intervention program. Result. There were 290 participants before the intervention and 253 participants after the intervention. There is a difference in mean cultural scores before and after the intervention that is statistically significant in the following areas: Patient safety promotion, Patient safety awareness, Error feedback , Handover and transfer of disease, No punishment when there is an incident. The average patient safety culture score at the hospital after the intervention was significantly higher than before the intervention (p<0.001). Conclude. The patient safety culture score after intervention was higher than before the intervention. Hospitals should update their incident reporting procedures and encourage medical staff to proactively report them. Enhance the role of the Hospital Quality Management team in providing feedback on errors. Plan to train and attract human resources to work at the hospital, reducing pressure on medical staff.