Survey on patient safety culture in the Republic of Moldova: A baseline study in three healthcare settings
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2018-08-22 15:01
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TEREANU, Carmen; SAMPIETRO, Giuseppe; SARNATARO, Francesco; ŞIŞCANU, Dumitru; PALARIA, Rodica; SAVIN, Victor; CLISCOVSCAIA, Tatiana; PISLARU, Valentina; OGLINDA, Valeriu; CAPMARE, Larisa; GHELASE, Mugurel; ŢURCANU, Tamara. Survey on patient safety culture in the Republic of Moldova: A baseline study in three healthcare settings. In: Clujul Medical. 2018, nr. 1(91), pp. 65-74. ISSN 1222-2119.
10.15386/cjmed-869
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Clujul Medical
Numărul 1(91) / 2018 / ISSN 1222-2119

Survey on patient safety culture in the Republic of Moldova: A baseline study in three healthcare settings


DOI: 10.15386/cjmed-869
Pag. 65-74

Tereanu Carmen1, Sampietro Giuseppe2, Sarnataro Francesco1, Şişcanu Dumitru3, Palaria Rodica3, Savin Victor3, Cliscovscaia Tatiana4, Pislaru Valentina4, Oglinda Valeriu5, Capmare Larisa5, Ghelase Mugurel6, Ţurcanu Tamara7
 
1 Department of Hygiene and Prevention, Agenzia di Tutela della Salute, Bergamo,
2 Epidemiology Service, Agenzia di Tutela della Salute, Bergamo,
3 City Clinical Hospital Nr.1,
4 IMSP AMT Rîşcani,
5 Clinica de Medicină estetică Sancos,
6 University of Medicine and Pharmacy Craiova,
7 ”Nicolae Testemițanu” State University of Medicine and Pharmacy
 
Disponibil în IBN: 23 februarie 2018


Rezumat

Background and aims. The Republic of Moldova is a small ex-soviet country in the Central Eastern European group of states, whose official language is Romanian. In countries with limited resources, quality improvement in healthcare and patient safety are very challenging. This study aims to identify which areas of the patient safety culture (PSC) need prompt intervention. Methods. A cross-sectional study was conducted in three Moldovan healthcare settings, using the Romanian translation of the US Hospital Survey on Patient Safety Culture HSOPSC. Descriptive statistics were carried out, based on the responses from n. 929 staff. Percentages of positive responses (PPRs) by item (41 items) and composite (12 PSC areas) were computed. Results. Most respondents were nurses (53%), followed by doctors (35%). The main work areas were: primary care (27%), medical specialties (20%), gynecology and obstetrics (16%), and general surgery (11%). The highest composite PPRs were for: teamwork within units (80%), feedback & communication about error, organizational learning-continuous improvement and supervisor/manager expectations & actions promoting patient safety (78%), and management support for patient safety (75%). The lowest composites were for: frequency of events reported (57%), non-punitive response to errors (53%), communication openness (51%) and staffing (37%). Conclusion. Our results suggest that staffing issues should be tackled to provide safe care. Staff avoid to openly report adverse events and/or discuss errors, likely because a poor understanding of the potential of these events for learning and because of fear of blame or punitive actions. Future research should check psychometrics of the Romanian version of the HSOPSC applied to Moldovan staff.

Cuvinte-cheie
Low-income country,

organizational culture, Patient safety, Republic of Moldova, survey