PATIENT SAFETY CULTURE UNDERSTANDING IN TURKEY AND THE WORLD

Yıl 2025, Cilt: 22 Sayı: 2, 62 - 89, 28.05.2025

Sebla Ak

https://doi.org/10.70915/spkd.1541496

Öz

For the development of patient safety culture, which has a very important place in the success of health institutions, patient-focussed, safe, effective, technological equipment brought by the modern age and equal distribution of information bring along a number of norms. Today, patient safety is recognized as a priority issue in the field of health services worldwide. The aim of this study is to emphasize the importance of patient safety in the establishment of patient safety culture and practices in health service delivery in Türkiye and in the world, to examine the quality improvement strategies in this regard in detail and to emphasize the importance of patient safety in health institutions.

Anahtar Kelimeler

Patient Safety, Patient Safety Culture, Health Services

Etik Beyan

Conflict of Interest Statement: There is no financial conflict of interest with any institution, organization or person related to this study and there is no conflict of interest between the authors. Funding: The author declared that they received no financial support for this study.

TÜRKİYE’DE VE DÜNYA’DA HASTA GÜVENLİĞİ KÜLTÜRÜ ANLAYIŞI

Öz

Sağlık kurumlarının başarılı olmasında oldukça önemli bir yere sahip olan hasta güvenliği kültürünüm gelişmesi için hasta odaklı, güvenli, etkili, modern çağın getirdiği teknolojik donanım ve bilgiyi eşit dağılımlı olarak sunulması bir takım normları da beraberinde getirmektedir. Bu çalışmanın amacı, hasta güvenliği olgusunun önemi üzerinde durularak Türkiye’de ve Dünya’da sağlık hizmetleri sunumunda hasta güvenliği kültürü ile uygulamalarının oluşturulmasındaki önemi ve bu konuda kalite geliştirme stratejilerinin ayrıntılı olarak incelenerek hasta güveninin sağlık kurumlarındaki önemi vurgulanmaya çalışılmıştır. Türkiye’de son yıllarda hasta güvenliği kültürü kavramı kalite standartları yönetim birimlerinin üzerinde titizlikle durduğu bir konu olup sağlık kurumlarındaki risk faktörlerinin ileri düzeyde olmasından ötürü tıbbi hataların artış göstermesi hasta güvenliğinin önem kazanmasını sağlamıştır. Risklerden ötürü meydana gelen hataların öngörülmesi ve bu duruma bağlı hataların önceden önlenebilmesi, sağlık hizmetlerinin daha nitelikli ve güvenli biçimlerde sunulabilmesi için başta sağlık yöneticilerine ve çalışanlarına başlıca görev ve sorumluluklar düşmektedir.

Anahtar Kelimeler

Hasta Güvenliği, Hasta Güvenliği Kültürü, Sağlık Hizmetleri

Kaynakça

• • Akalın, H. E. (2004). Patient safety culture: How can we improve it. Ankem Journal, 18(2), 12-13.
• • Akalın, H. E. (2010). Patient safety culture. Health Pulse, 7(25), 10-13. Ankara University Institute of Health Sciences, Department of Medical History and Ethics, PhD Thesis, Ankara.
• • Arslanoğlu, A. (2019). The effect of effective communication on patient safety culture and the mediating role of intrapreneurship: A private hospital application. Human and Human, 6(21), 431-451.
• • Aslan, Y. (2020). Evaluation of medication-related medical error incident reports according to the World Health Organization's "International patient safety classification". Journal of Health Sciences and Medicine, 3(1), 20-25.
• • Aspden, P., Corrigan J. M., Wolcott J., Erickson, S. M. (2004). Patient safety: Achieving a new standard for care. Washington, DC: National Academies Press.
• • Cağatay, A., Tuzemen, A. (2022). Management date in health sevices. Gazi bookstore.
• • Chin, S., Wang, M., Poon, K., Yang, B. (2009). Failure mode and effects analysis using a group-based evidential reasoning approach. Computers & Operations Research, 36(6), 1768-79.
• • Dhingra, K. N., Brusaferro, S., Arnoldo, L. (2021). Patient safety in the world. In: Donaldson L., Ricciardi, W., Sheridan, S., Tartagli, R. (eds). Textbook of Patient Safety and Clinical Risk Management Sprinter, Cham. Available from: https:// doi.org/10.1007/978-3-030-59403-9_8.
• • Dilmen, B. (2016). Evaluation of nursing students' and nurses' perceptions of patient safety culture (doctoral dissertation). Ankara: Hacettepe University Institute of Health Sciences.
• • Doganyiğit, P. B. (2021). Infection control in health care institutions. Journal of Health and Management, 1(1), 57-71.
• • Ergen, B., Tank, D. Y. (2023). A vital list in the operating room: The safe surgery checklist. Journal of Health Professionals Research, 5(2), 146-151.
• • Etchells, E., Koo, M., Daneman, McDonald, A., Baker, M., Matlow. A. (2012). Comparative economic analyses of patient safety improvement strategies in acute care: A systematic rewiew. BMJ Quality & Safety, 21(6), 448-456.
• • Fracica, J., Wilson, S., Chelluri, P. (2010). Patient safety. In: Varkey P, editor. Medical quality management theory and practice. London: Jones and BartlettPublishers; p. 43-73.
• • General Directorate of Health Servıces Department of Qualıty, Accredıtatıon and employee rıghts in Health. (2024). Available from: https://shgmkalitedb.saglik.gov.tr/TR-12681/arsiv-sks-standartlari.html.
• • Gökkaya, D. (2023). Patient and staff safety. Health Management in Emergency Situations, 247.
• • Gözlü, K., Kaya, S. (2012). Evaluation of patient safety culture in a hospital with accreditation certificate. 6th National Health and Hospital Administration Congress, Isparta, pp, 175-182.
• • Güven, R. (2007). Patient safety in disinfection and sterilization applications concept. 5th National Sterilization Disinfection Congress, 4-8 April, Antalya, pp. 411-422.
• • Institute of Medicine. (2000). To err is human: Building a safer health system. National Academies Press, Washington, DC.
• • Institute of Medicine. (2001). Crossing the quality chasm: A new health system for the 21st century, National Academies Press, Washington, DC.
• • Institute of Medicine. (2003). Priority areas for national action: transforming health care quality. Washington DC: National Academiy Press.
• • Institute of Medicine. (2004). Patient safety: Achieving a new standard for care. National Academies Press, Washington, DC.
• • Institute of Medicine. (2015). Improving diagnosis in health care. National Academies Press, Washington, DC.
• • İpek, M. B and Tonkus, D. (2020). Investigation of nursing students' attitudes and knowledge levels regarding identity verification required for patient safety in their practice areas. Journal of Medical Sciences, 1(5), 27-35.
• • Joint Commission International (JCI). (2006). International Patient Safety Goals. Available from:http://tr.jointcommissioninternational.org.
• • Joint Commission International Accreditiation Standarts for Hospital.(2014). Joint commission resource, updated ınternational patient safety goals text now, on jcı Web Site. Available from: http://tr.jointcommissioninternational.org.
• • Joint Commission International Accreditiation Standarts for Hospital. (2024). Available from: https://www.jointcommissioninternational.org/who-we-are/accredited organizations/#sort=%40aoname%20 ascendingjointcommissioninternational.org/improve/international-patientsafety-goals/.
• • Karadağ, Z. (2022). Patient safety. Health Services Management Journal. Gazi bookstore.
• • Kaya, E., Gündüz, S. (2022). Compassion fatigue and the importance of patient safety in health institutions. Journal of Applied Social Sciences and Fine Arts, 4(8), 46-61.
• • Kaya, S. (2009). What is patient safety culture and how can it be developed?. Journal of Quality, Accreditation and Patient Safety in Healthcare, 1(1), 32-34.
• • Korkmaz, A. Ç. (2018). Patient safety from past to present. Journal of Inonu University Health Services Vocational School, ISSN: 2147-7892, Volume 6 Issue 1(2018)10-19.
• • Larson, D. B., Kruskal, J. B., Krecke, K. N., Donnelly, L. F. (2015). Key concepts of patient safety in radiology. Radiographics, 35(6), 1677-1693.
• • McKenna, P., Heslin, S. M., Viccellio, P., Mallon, W. K., Hernandez, C., Morley, E. J. (2019). Emergency department and hospital crowding: causes, consequences, and cures. Clinical and Experimental Emergency Medicine, 6(3), 189.
• • NPSF. (2015). Free from harm accelerating patient safety improvement fifteen years after to err is human, Boston.
• • Ocloo, J., Garfield, S., Franklin, B. D., Dawson, S. (2021). Exploring the theory, barriers and enablers for patient and public involvement across health, social care and patient safety: A systematic review of reviews. Health Research Policy and Systems, 19, 1-21.
• • Özgönül, L. (2010). The concept of medical error in terms of medical ethics and law in Türkiye.
• • Öztürk, K., Aydın, A. K. (2021). Factors affecting patient safety culture and job satisfaction of nurses: A comparative study. Kafkas Journal of Medical Sciences,11(3), 381-389.
• • Patient rights guide. (2013). Available from: http://www.ttb.org.tr/mevzuat/index.php?option=com_content&view=article&id=984:hasta&catid=26etik&Itemid=65.
• • Poulter, N, R., Lackland, D, T. (2017). Comment on “Medication without harm:WHO’s third global patient safety challenge”. The Lancet, Vol 389.
• • Shaw, A., Flott, K., Fontana, G., Durkin, M., Darzi, A. (2020). No patient safety without health worker safety. The Lancet, 396(10262), 1541-1543.
• • Slawomirski, L., Auraaen, A., Klazinga, N.(2018). The economics of patient safety in primary and ambulatory care: Flying blind. Paris. Organisation for ecnomic co-operation and Devolopment. Available from: http://www.oecd.org/health/health-systems/the-ecomicsiof-patient-safety-in-primary-andambulatory-care-april2018.
• • Sorra, J. S., Dyer, N. (2010). Multilevel psychometric properties of the AHRQ hospital survey on patient safety culture. BMC Health Services Research, 10(199), 1-13. doi:10.1186/1472-6963-10-199.
• • Sur, H., Ozsarı, S. H., Say, B. (2013). Hospital administration. Nobel Press.
• • The Agency for Healthcare Research and Quality AHRQ (2018). 10 Patient safety tips for hospiyals. Content last rewiewed june. Agency for Healthcare Research and Quality, Rockville, MD. Available from: https:// www.ahrq.gov/patientsconsumers/diagnosis-treatment/hospitals-clinics/10-tips/index.html.
• • The Joint Commission, facts about spek upTM (2010). Available from: Intiatives.http://www.jointcommission.org/GeneralPublic/Speak+Up/about_speakup.htm.
• • The National Patient Safety Agency- NPSA (2021). Patient safety. Available from: https://www.england..nhs.uk/patient-safety/.
• • The National Patient Safety Foundation-NPSF. (2017).Agenda for research and developmentin patient safety. Available from: www.npsf.org/pdf/r/researchagenda.pdf.
• • The World Health Organization. (2017). Patient Safety: Making health care safer. Geneva: World Health Organization. Available from: https: //apps. who.int/iris/handle/10665/255507.
• • The World Health Organization. (2019). Patient safety. Available from: https://www.who.int/news-room/facts-in-pictures/detail/patient-safety.
• • The World Health Organization. (2023). World patient safety day 2023. Available from: https://www.who.int/news-room/events/detail/2023/09/17/default-calendar/world-patient-safety-day-2023--engaging-patients-for-patient-safety#:~:- text=World%20Patient%20Safety%20Day%202023%20will%20be%20observed%20on%2017,the%20safety%20of%20health%20care.
• • Tokaç, M. (2008). Patient safety in documents of Turkish medical history. Available from: www.sdplatform.com/Dergi/120/Turk-tip-tarihine-ait-belgelerdehastaguvenligi.aspx.
• • Tokac, M. (2009). Patient safety in documents belonging to Turkish medical history in: Sur H, editor. Approaches to patient safety. Istanbul: Medipolitan Education and Health Foundation Publications.
• • Topcu, İ., Tokac, M. (2013). Hospital management. Medical Deontology. Nobel Press.
• • Tunçel, K. (2013). Hemşirelerin hasta güvenliği kültürünü algılama düzeyi ve hasta güvenliği uygulamaları. Atatürk Üniversitesi Sağlık Bilimleri Enstitüsü Hemşirelikte Yönetim Anabilim Dalı, Yüksek Lisans Tezi, Erzurum.
• • WHO. World Health Organization, Available from: http://www.who.int/.
• • Wu ,W., Lipshutz, M., Pronovost, J.(2009). Effectiveness and efficiency of rootcause analysis in medicine. JAMA, 299(6), 685-7.