Author/Editor		Dobnik, Mojca; Skela-Savič, Brigita
Title		Menedžment kakovosti v bolnišnici
Translated title		Quality management in hospitals
Type		članek
Vol. and No.		Letnik 49, št. 2
Publication year		2015
Volume		str. 136-143
ISSN		1318-2951 - Obzornik Zdravstvene Nege
Language		slv
Abstract		Uvod: Sistem kakovosti in varnosti je sistem odgovornosti in je danes glavni pogoj za pridobitev, nudenje in izvajanje zdravstvenih storitev. Prvi korak na poti kakovosti in varnosti je uveljavitev kulture varnosti za paciente v celotnem zdravstvenem sistemu. Namen raziskave je analizirati, kakšno vlogo zaposleni pripisujejo posameznim kriterijem za doseganje večje varnosti pacientov v bolnišnici. Metode: V kvantitativni raziskavi je sodelovalo 17,6 % (n = 256) zaposlenih v zdravstveni negi v večjem zdravstvenem zavodu v Sloveniji. Raziskovalni instrument je bil vprašalnik 112 vprašanj zaprtega tipa, z rangiranjem po Likertovi lestvici. Za zanesljivost instrumenta je bil za različne spremenljivke izračunan koeficient alfa, znašal je od 0,717 do 0,839. Podatki so bili obdelani z deskriptivno statistiko, t-testom, korelacijsko ter regresijsko analizo. Statistična značilnost je bila p < 0,05. Rezultati: Po mnenju zaposlenih so kriteriji za doseganje varnosti človeški viri (x = 27,09), novi načini dela (x = 21,34), rezultati dela (x = 27,39) in učinkovitost (x = 24,92). Na doseganje varnosti statistično pomembno vpliva izobrazba. Diskusija in zaključek: Raziskava pokaže, da anketiranci med kriteriji za doseganje varnosti kot najpomembnejše v največji meri ocenjujejo rezultate dela in najmanj nove načine dela. Varnost pacienta pripomore k porastu kakovosti življenja. Največji vpliv na izboljšanje varnosti pacientov ima menedžment z doseganjem kriterijev za varnost pacientov.Introduction: The system of quality and safety is a system of responsibility and it is the main prerequisite for obtaining, offering and implementing health services. The first step towards quality and safety is the formation of a safety culture for patients throughout the entire health system. The objective of the research is to analyze criteria, assessed by employees according to the significance, in order to achieve the equivalent level of safety of patients in hospitals. Methods: Quantitative research included 17.6 % (n = 256) of health care employees in a larger Slovenian health institute. A survey questionnaire of 112 closed-ended questions was used as the research instrument, rank variables collected and ranked by a Likert scale. Reliability was confirmed with an internal consistency of the questionnaire with the Cronbach's alpha ranging from 0.717 to 0.839. Obtained data were processed and analyzed using descriptive statistics, t-test, regression and correlation analysis. Statistically significant value was p < 0.05. Results: The results show that among health care personnel, the highest ranking criteria for achieving equivalent level of safety are human resources (x = 27.09), new working methods (x = 21.34), work results (x = 27.39) and efficiency (x = 24.92). Education has a statistically significant effect on achieving the equivalent level of safety. Discussion and conclusion: The research indicates that respondents assess the work results as the most important criterion for achieving the equivalent level of safety and new working methods as the least important criterion. Patient safety helps to increase the quality of life. The greatest impact on improving the safety of patients is management framework for achieving the criteria for patient safety.
Keywords		zdravstvena nega načini dela rezultati dela nursing care working methods work results