Assessment of the levels of formation and leading components of the patient safety system of the anesthesiology and resuscitation service (message 2)

Abstract

The objective was to assess the levels of formation and leading components of the patient safety system of the anesthesiology and resuscitation (A&R) service (department) of multidisciplinary hospitals.Materials and methods. Expert assessment of the patient safety system of the anesthesiology and resuscitation service (department) of 235 multidisciplinary hospitals, including the assessment of its level, leading components, and their structure in the overall sample. Expert assessment method. Statistical analysis of data distribution, Student’s t-test for independent samples of different sizes, correlation analysis.Results. It has been established that in the main part (38.3%) of multidisciplinary hospitals, the A&R service is at an average (sufficient) level of ensuring patient safety. 17% are at a high (organized) and highest (system-organized) level in terms of ensuring patient safety. A fairly large part (44.7%) is at a low (insufficient) and minimal (critical, extremely low) level of ensuring patient safety. At the same time, the level of ensuring patient safety in the A&R service of multidisciplinary hospitals is important and has a close but inverse relationship with the level of digitalization. Comparison of the severity of the five leading (main) components (criteria) for ensuring patient safety in the A&R service of multidisciplinary hospitals made it possible to assess the levels of their completeness and their structure and showed that in the general sample, the most pronounced criteria for ensuring patient safety were «Teamwork, staff expertise» and «Availability of medicines».Conclusion. The current state of the patient safety system of the A&R service of multidisciplinary hospitals is characterized by 5 levels and 5 leading (main) components, the expert assessment of which made it possible to distribute the A&R services of hospitals according to the indicated levels, identify the structure of their leading components an determine target areas for improving the patient safety system.

Keywords

• system
• components
• patient safety
• multidisciplinary hospital
• anesthesiology and resuscitation
• digitalization
• level