Uvod: Svjetska zdravstvena organizacija definira sigurnost pacijenata kao „prevenciju, otklanjanje i unapređenje zaštite od neželjenih događaja tijekom procesa zdravstvene skrbi“. Sigurnost bolesnika važno je javnozdravstveno pitanje i najpouzdaniji indikator kvalitete zdravstvenog sustava.Ispitanici i metode: U istraživanju je sudjelovalo ukupno 228 ispitanika – stopa odgovora iznosi 61,13 %. Upitnik korišten u ovom radu jest Upitnik o kulturi bolesnikove sigurnosti u bolnici. Upitnikom se ispituju stavovi zdravstvenih djelatnika o bolesnikovoj sigurnosti, pogreškama u liječenju te o izvještavanju o neželjenim događajima u bolnici. Distribucije kvantitativnih podataka analizirane na normalnost Smirnov-Kolmogorovljevim testom pokazale su da distribucija nije normalna, stoga su u analizi korišteni neparametrijski analitički postupci. Distribucije kvalitativnih podataka analizirane su Fisherovim egzaktnim testom. Rezultati su interpretirani na 5 %-tnoj razini značajnosti.Rezultati: Na razini Klinike, većina dimenzija imala je visoku razinu, osim dimenzije Popunjenost osobljem. Najviša je izmjerena snaga u dimenzijama Timski rad unutar odjela i Očekivanja rukovoditelja i aktivnosti koje promiču bolesnikovu sigurnost.Rasprava: Iako se kao Klinika za infektivne bolesti pronašla na prvoj liniji obrane od novog koronavirusa, zajedno sa svojim djelatnicima pokazala je izvrsnost u novonastaloj situaciji borbe s novom bolesti.Zaključak: Visoka je razina sigurnosti bolesnika u Klinici za infektivne bolesti „Dr. Fran Mihaljević“. Osim kontinuiranog truda da se visoka razina i dalje održava, važno je zapošljavanje zdravstvenih djelatnika kako bi se poboljšala popunjenost osobljem.
The COVID-19 pandemic has put inordinate pressure on frontline healthcare workers (HCWs) and hospitals. HCWs are under chronic emotional stress, affected by burnout, moral distress and interpersonal issues with peers or supervisors during the pandemic. All of these can lead to lower levels of patient safety. The goal of this study was to examine patient safety culture values in a COVID-19 frontline hospital. Patient safety represents action, while patient safety culture represents the beliefs, values and norms of an organization that support and promote patient safety. Patient safety culture is a prerequisite for patient safety. A cross-sectional study on healthcare workers (228, response rate of 81.43%) at a COVID-19 frontline hospital was conducted using the Hospital Survey on Patient Safety Culture (HOSPSC), which had PSC dimensions, single question dimensions and comments. Our research revealed that, during the COVID-19 pandemic, a number of patient safety issues have been identified: low communication openness and current punitive response to errors, which might have incapacitated HCWs in the reporting of adverse events. Although participants expressed high supervisor/management expectations, actual support from the supervisor/management tier was low. Poor teamwork across units was identified as another issue, as well as low staffing. The infrastructure was identified as a potential new PSC dimension. There was a lack of support from supervisors/managers, while HCWs need their supervisors to be available; to be visible on the front line and to create an environment of trust, psychological safety and empowerment.