فهرست نشریات علمی دسترسی آزاد ایران

ABSTRACTBackground and aim: According to importance of occupational health for health care providersand patient safety in hospitals, implementation of safety culture with teamwork is an acceptableprinciple.This study aims to assess attitude of health care providers toward teamwork, safetyclimate and knowledge transfer through team collaboration at an educational medical center in.2009.Method and materials: This was a descriptive study. All 225 resident physicians, nurses and otherparamedics of an educational hospital of Tehran participated in the study. The tool for datacollection was the Safety Attitudes Questionnaire (SAQ). Content validity and reliability of thequestionnaire was assessed and confirmed. Data was analyzed using SPSS 16 and Chi square test.Results:The results demonstrated that 59% of nurses, 52% of physicians and 58%of paramedicsbelieved that tasks are performing by teamwork. 30% of nurses, 21% of physicians and 39 % ofparamedics had a sense of safety in workplace. 78% of nurses, 55 % of physicians and 73% of otherparamedics believed that knowledge could transfer through team collaboration. Amongdemographic characteristics there were significant relationship between attitude of health careproviders on teamwork with their marital status (p=0.001); attitude of health care providers onsafety climate with their work experience (p=0.04); attitude of health care providers on knowledgetransfer trough teamwork with organizational position (p=0.016).Conclusion: Attitude assessment of health care providers toward teamwork, safety climate andpatients' or health care providers' safety is necessary to modify and improve the current deficits andto achieve to the culture of learning from errors. Managers can have an appropriate guide toestablish safety culture with this sort of attitude assessments.Keywords : Teamwork, Safety Climate, Patient Safety, Knowledge Transfer.REFERENCES-Blegen M Pepper G Rosse J (2005). Safety climate on hospital units: A new measure. Advances in Patient Safety:From Research to Implementation, Agency for Health Research and Quality Safety. 4: 429-443.-Felknor SA et al (2000). Safety climate and its association with injuries and practices in public hospitals in Costa Rica .International Journal of Occupational and Environmental Health. 6 (1) 2-18.-Gerson RM et al (2000). Hospital safety climate and its relationship with safe work practices and work place exposureincident. AJIC: American Journal of Infection Control. 28 (3) 211-227.-Joint Comission on Accreditation of Health Care Organizations (2005). Hospital's National Patient Safety Goals [online] http://www.jointcommission.org/ [9July2012]-Kevin J et al (2008). Hospitalists use teamwork to improve care, increase efficiency in hospital .Human ResourceManagement Journal. 47 (3) 621-61.-Kaya S et al (2000). Variation in caregiver perceptions of teamwork climate and safety climate in a tertiary carehospital in Turkey .24th International Society for Quality in Health Care Conference. September 30 - October 3, 2007,Boston, USA.-Kohn LT et al (1999). To err is human: building a safer health system. A report of the committee on quality of healthcare in America ,Institute of Medicine .Washington DC .National Academy Press.Leonard M Graham S Bonacum D (2004). The human factor: the critical importance of effective teamwork andcommunication in providing safe care. Quality and Safety in Health Care. 13 (1) 85-90.Meterko M et al (2004). Teamwork culture and patient satisfaction in hospitals. Medical Care. 42(5) 492-498.Pronovost PJ Sexton B (2005). Assessing safety culture: Guidelines and recommendations. Quality and Safety in HealthCare. 4 (14) 231-233.-Gershon R et al (2000). Hospital safety climate and its relationship with safe work practices and workplace exposureincidents. American Journal of Infection Control 28 (3) 211-221.-Rudman WJ et al (2006). Teamwork and safety culture in small rural hospitals in Mississippi. Patient Safety andQuality Healthcare, November/December 2006, Available Online: http://www.psqh.com/novdec06/mississppi.html.-Sexton JB et al (2000). Error ,stress and teamwork in medicine and aviation :cross sectional surveys. British MedicalJournal. 320 (7237) 745-9-Sexton JB et al (2003). The safety attitude questionnaire: guidelines for administration. The University of Texas Centerof Excellence for Patient Safety Research and Practice, University of Texas, 99-108-Sexton J B et al (2006). Variation in caregiver perceptions of teamwork climate in labor and delivery units. Journal ofPerinatology. 26 (8) 463-70-Shosteck K (2005). Improve patient safety Teamwork takes hold to. The Risk Management Reporters. 24 (1) 1-24.-Safety Attitude Questionnaire SAQ (2012) Team- work and safety climate, Texas University, Center for Health Carequality and safety [on line] http://www.uth.tmc.edu/schools/med/imed/patient_safety/documents/Survey-SAQTeamwork-Safety-Climate%20.pdf (23/7/2012)-Spencer M (2008). Safety climate surveys-experience from SPI [online] http//:www.wales.nhs.uk/sites3/docopen.cfm-Vincent C Taylor-Adams S Stanhope N (1998). Framework for analyzing risk and safety in clinical medicine. BritishMedical Journal. 316 (7138)1154-1157.