Safety Measures and Risk Management in the Ophthalmic Governmental Hospitals of the Gaza Strip
Date
2023-03-22
Authors
لينا عبد الكريم على نجم
Leena Abedalkareem Ali Nijim
Journal Title
Journal ISSN
Volume Title
Publisher
جامعه القدس ابو ديس
Abstract
تعد تدابير السلامة وإدارة المخاطر أمرًا أساسيًا في مستشفيات العيون لضمان حصول المرضى على أعلى مستوى من الرعاية. تساعد إدارة المخاطر السليمة على تقليل فرص الأخطاء الطبية والحوادث التي يمكن أن تؤدي إلى إصابات خطيرة أو وفاة. كما أنها تساعد في حماية المستشفى من المسؤولية المحتملة. تتضمن إدارة المخاطر في مستشفيات العيون تحديد وتقييم وإدارة المخاطر التي يمكن أن تؤثر بشكل محتمل على سلامة وجودة الرعاية المقدمة.
الهدف: تقييم تدابير السلامة وإدارة المخاطر في المستشفيات العيون الحكومية في قطاع غزة.
الطرق: تم استخدام تصاميم وصفية تحليلية شملت مجموعة الدراسة جميع العاملين في المستشفيات العيون الحكومية بما في ذلك الأخصائيون وأطباء البورد والصيادلة والبصريات والممرضون وأطباء التخدير وفنيو التخدير والمسؤولين. أكمل حوالي 86٪ (160/185) من المستجيبين الاستبيان بشكل صحيح. تم ضمان صحة وموثوقية الاستبيان؛ كرو نباخ ألفا يساوي 0.954 للاستبيان بأكمله. تم إجراء تحليل البيانات باستخدام برنامج (SPSS) الإصدار 25.
النتيجة: كان مجموع درجات مستويات التدابير الأمنية منخفضًا (44.2٪). كان المتوسط لمجال التدريب منخفضًا (39.0٪) في حين كان المتوسط لمجال ترتيبات سلامة المستشفى معتدلًا (66.0٪). كان مجموع درجات مستويات إدارة المخاطر عاليًا (81.40٪) وتم تصنيف مجال إدارة المخاطر كما يلي: إدارة المخاطر البيولوجية (84.30٪)، إدارة مخاطر الأفراد (80٪)، وإدارة المخاطر الفيزيائية (79.40٪). أظهرت النتائج وجود علاقة إيجابية بين التدابير الأمنية وإدارة المخاطر (P <0.05). أخيرًا، أظهرت النتائج عدم وجود فرق إحصائي في متوسط مستويات التدابير الأمنية وإدارة المخاطر فيما يتعلق بالبيانات الديموغرافية (P> 0.05). أظهرت النتائج أيضًا وجود علاقة إيجابية ومعنوية بين التدابير الأمنية وإدارة المخاطر. (P <0.05). بناء على النتائج التي تم الحصول عليها من المقابلات مع الأشخاص أصحاب المناصب الإشرافية، فإن المستشفيات الحكومية في غزة تواجه مشكلات في مجالات السلامة وإدارة المخاطر بسبب عدم وجود سياسات وإجراءات كاملة، وعدم الشفافية، وعدم إبلاغ الحوادث الطبية بشكل كامل. تعمل وزارة الصحة على إعداد دليل السلامة وهناك لجان متخصصة للتحقق من الأحداث الطبية لتعزيز إجراءات السلامة وإدارة المخاطر.الاستنتاج: تشير النتائج إلى أن مستوى السلامة العام كان منخفضًا، خاصة في مجال التدريب، ولكنه كان معتدلًا في مجال ترتيبات سلامة المستشفى. ومن ناحية أخرى، كان مستوى إدارة المخاطر عاليًا، حيث ترتيب إدارة المخاطر البيولوجية هو الأعلى. كما وجدت الدراسة وجود علاقة إيجابية بين تدابير السلامة وإدارة المخاطر، لاستنادًا إلى هذه النتائج، توصي الدراسة بأن تركز المستشفيات على تحسين تدابير السلامة وإدارة المخاطر لضمان سلامة الموظفين والمرضى
Background: Safety measures and risk management are essential in ophthalmic hospitals to ensure that patients receive the highest quality of care. Proper risk management helps to reduce the chances of medical errors and accidents, which can lead to serious injury or death. It also helps to protect the hospital from potential liability. Risk management in ophthalmic hospitals involves identifying, assessing, and managing risks that could potentially impact the safety and quality of care provided. Aim: To evaluate the Safety Measures and Risk Management in the Ophthalmic Governmental Hospitals in the Gaza Strip. Methods: descriptive-analytical, cross-sectional designs were used. The study population included all healthcare workers in governmental ophthalmic hospitals including specialists, residents, nurses, anesthesiologists, anesthesia technicians, and administrators. Approximately 86% (160/185) of surveyed correctly completed the questionnaire. The validity and reliability of the questionnaire were ensured; Cronbach’s alpha equals 0.954 for the entire questionnaire. Data analysis was done with the help of (SPSS) program version 25. Result: The total score of safety measures levels was low (44.2%). The mean for the training domain was low (39.0%) while the mean for the hospital safety arrangements domain was moderate 66.0%. A total score of risk management levels was high (81.40%) and domain risk management was ranked as following management biological hazards (84.30%), management personnel risks (80%), and management physical hazards (79.40%). The results showed that there is a positive significant correlation between safety measures and risk management (P < 0.05). Finally, the results showed no statistical difference in the average of safety measures and risk management levels regarding the socio-demographic data (P>0.05). The results showed that there is no statistical difference in the average of safety measures and risk management levels regarding the socio-demographic data (P>0.05)و positive significant correlation between the safety measures and risk management (P < 0.05). Based on the findings from the interviews with key informants Gaza's governmental ophthalmic faces safety and risk management problems due to incomplete policies and procedures, lacking transparency, and incomplete medical event reporting. The Ministry of Health is preparing a safety manual and specialized committees to investigate medical events to enhance risk management. Conclusion: The findings indicate that the overall level of safety measures was low, particularly in the training domain, but moderate in the hospital safety arrangements domain. On the other hand, the level of risk management was high, with the management of biological hazards ranking the highest. The study also found a positive correlation between safety measures and risk management, and socio-demographic data did not affect these levels significantly. Based on these results, the study suggests that hospitals should focus on improving safety measures training and emphasizing the management of physical hazards to ensure the safety of staff and patients. The study highlights the importance of effective risk management in ophthalmic hospitals. Gaza's governmental ophthalmic faces safety and risk management problems that require the development of policies, transparency, and complete medical event reporting. The Ministry of Health is taking steps to address these issues
Background: Safety measures and risk management are essential in ophthalmic hospitals to ensure that patients receive the highest quality of care. Proper risk management helps to reduce the chances of medical errors and accidents, which can lead to serious injury or death. It also helps to protect the hospital from potential liability. Risk management in ophthalmic hospitals involves identifying, assessing, and managing risks that could potentially impact the safety and quality of care provided. Aim: To evaluate the Safety Measures and Risk Management in the Ophthalmic Governmental Hospitals in the Gaza Strip. Methods: descriptive-analytical, cross-sectional designs were used. The study population included all healthcare workers in governmental ophthalmic hospitals including specialists, residents, nurses, anesthesiologists, anesthesia technicians, and administrators. Approximately 86% (160/185) of surveyed correctly completed the questionnaire. The validity and reliability of the questionnaire were ensured; Cronbach’s alpha equals 0.954 for the entire questionnaire. Data analysis was done with the help of (SPSS) program version 25. Result: The total score of safety measures levels was low (44.2%). The mean for the training domain was low (39.0%) while the mean for the hospital safety arrangements domain was moderate 66.0%. A total score of risk management levels was high (81.40%) and domain risk management was ranked as following management biological hazards (84.30%), management personnel risks (80%), and management physical hazards (79.40%). The results showed that there is a positive significant correlation between safety measures and risk management (P < 0.05). Finally, the results showed no statistical difference in the average of safety measures and risk management levels regarding the socio-demographic data (P>0.05). The results showed that there is no statistical difference in the average of safety measures and risk management levels regarding the socio-demographic data (P>0.05)و positive significant correlation between the safety measures and risk management (P < 0.05). Based on the findings from the interviews with key informants Gaza's governmental ophthalmic faces safety and risk management problems due to incomplete policies and procedures, lacking transparency, and incomplete medical event reporting. The Ministry of Health is preparing a safety manual and specialized committees to investigate medical events to enhance risk management. Conclusion: The findings indicate that the overall level of safety measures was low, particularly in the training domain, but moderate in the hospital safety arrangements domain. On the other hand, the level of risk management was high, with the management of biological hazards ranking the highest. The study also found a positive correlation between safety measures and risk management, and socio-demographic data did not affect these levels significantly. Based on these results, the study suggests that hospitals should focus on improving safety measures training and emphasizing the management of physical hazards to ensure the safety of staff and patients. The study highlights the importance of effective risk management in ophthalmic hospitals. Gaza's governmental ophthalmic faces safety and risk management problems that require the development of policies, transparency, and complete medical event reporting. The Ministry of Health is taking steps to address these issues