Patient Safety Behavior in Physicians: How is it Predicted?

  • سال انتشار: 1395
  • محل انتشار: مجله اقدامات و تحقیقات بیمارستانی، دوره: 1، شماره: 2
  • کد COI اختصاصی: JR_HPR-1-2_007
  • زبان مقاله: انگلیسی
  • تعداد مشاهده: 131
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نویسندگان

Maryam Yaghoubi

Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, IR Iran

Marzieh Javadi

Health Management and Economics Research Center, Isfahan University of Medical Sciences, Isfahan, IR Iran

Saied Karimi

Health Management and Economics Research Center, Isfahan University of Medical Sciences, Isfahan, IR Iran

Elham Ehsani

Human Resource for Health Office, Ministry of Health and Medical Education, Tehran, IR Iran

چکیده

Background: Patient safety is a serious global public health issue. Estimates show that every day many patients are harmed while receiving hospital care. Health care staff plays a key role in providing quality and safe patient care, especially physicians who are main members of the medical team and a critical element in patient safety efforts. Objective: The current study used a Theory of Planned Behavior (TPB) framework to investigate predictors of patient safety intentions and behavior of physicians. Methods: This descriptive analytical study was conducted in ۸ hospitals with ۵۲ physicians participating. A researcher-designed questionnaire was prepared to investigate patient safety behaviors and behavior constructs of physicians based on the guidelines of constructing a TPB Questionnaire: Conceptual and Methodological Considerations. The content validity and reliability of the questionnaire were confirmed. Binary logistic regression analysis was performed using SPSS۱۸. Results: The total mean score of physician safety behavior indicated that ۳.۸±۰.۹۲. ۴۲% of physicians reported their safety behavior at a good level. There was no significant difference between the patient safety function of physicians in public and private hospitals (P=۰.۸) and working in medical or surgical wards (P=۰.۴). Among TPB constructs, “normative beliefs” had the greatest influence on physician intention for safety behaviors (wald=۳.۸۲۸, P=۰.۰۵). Conclusion: The results showed that “normative beliefs” had the greatest influence on physician intention for safety behaviors; therefore, it seems that patient safety must be the most important concern of all health care staff, specifically managers and executives throughout health care centers.

کلیدواژه ها

patient safety, physicians, Behavior, Hospitals

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