TÜRKİYE’DE HASTA GÜVENLİĞİ KÜLTÜRÜ: SİSTEMATİK BİR DERLEME

Yıl 2025, Cilt: 26 Sayı: 1, 135 - 150, 24.01.2025

Sait Söyler

https://doi.org/10.31671/doujournal.1443989

Öz

Sağlık hizmetlerinde güvenlik kültürünün geliştirilmesi, hataların önlenmesinin ve genel sağlık hizmetleri kalitesinin iyileştirilmesinin temel bir bileşenidir. Bu nedenle sağlık kurumları pozitif bir hasta güvenliği kültürü oluşturmaya çalışmaktadır. Bu çalışmanın amacı Türkiye’de “Hasta Güvenliği Kültürü Hastane Anketi 1.0” kullanılarak gerçekleştirilen hasta güvenliği kültürü ölçümlerinin sistematik olarak derlenmesi, elde edilen sonuçların ağırlıklandırılarak özetlenmesi ve belirlenmiş olan “kıyas ölçütü (benchmark)” skorları ile karşılaştırılmasıdır. Çalışmada PRISMA bildirimi kullanılmıştır. Araştırma ulusal ve uluslararası tanınırlığı yüksek olan veritabanlarında gerçekleştirilmiştir. Elde edilen araştırmalar özet ve başlık incelemesi, tam metin incelemesi ve raporlama kalitesi incelemesine tabi tutulmuştur. Bu kapsamda çalışmaya, dahil edilme kriterlerini sağlayan 9 adet araştırma dahil edilmiştir. Dahil edilen araştırmaların Hasta Güvenliği Kültürü Hastane Anketi 1.0 bileşenlerinden, hastane müdahaleleri ve değişim dışında, aldıkları ağırlıklı ortalamaların genel olarak benchmark skorlarından düşük olduğu tespit edilmiştir. Çalışmanın son bölümünde sağlık kurumlarında hasta güvenliği kültürünün geliştirilmesi için sağlık yöneticileri ve diğer uygulayıcılara yönelik öneriler sunulmuştur.

Anahtar Kelimeler

Hasta Güvenliği, Hasta Güvenliği Kültürü, Sağlık Çalışanları, Sağlık Yönetimi

PATIENT SAFETY CULTURE IN TÜRKIYE: A SYSTEMATIC REVIEW

Öz

Developing a safety culture in healthcare is a key component of preventing errors and improving the overall quality of healthcare. Therefore, healthcare organizations strive to create a positive patient safety culture. The aim of this study is to systematically review the patient safety culture measurements performed in Turkey using the "Patient Safety Culture Hospital Survey 1.0", summarize the results obtained by weighting, and compare them with the selected "benchmark" scores. The PRISMA statement was used in the study. The search was conducted in databases with high national and international recognition. The obtained studies were subjected to abstract and title screening, full text evaluation, and reporting quality analysis. In this context, 9 studies that met the inclusion criteria were included in the study. It was determined that the weighted averages of the included studies were generally lower than the benchmark scores, except for hospital handoffs and transitions. In the conclusion section of the study, recommendations for health managers and other practitioners were presented for the development of patient safety culture in health institutions.

Anahtar Kelimeler

Patient Safety, Patient Safety Culture, Healthcare Workers, Healthcare Management

Kaynakça

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