Purpose of the study. To compare the perception of the safety culture of the organisation by medical staff in Germany and Russia.Materials and methods. In the study carried out in Germany (Bohmann F. O. et al.), the original Safety Attitudes Questionnaire (SAQ), was used. The Russian sample, an adapted and validated Russian-language version of the questionnaire was used (Tsaranov, K.N. et al.).Results. According to the indicator "Experience of work" among German medical workers, the results of the questionnaire showed higher results for all of the studied indicators except "Stress recognition" in the group of medics with more than 5 years of work experience. Among Russian medics higher results were observed in the group of respondents with less than 5 years of work experience except for the "Perceptions of management".For the indicator "professional position" among medics in Germany, the results of the questionnaire showed higher results for all of the studied indicators in the group of medics who occupy the professional position of "physician". In Russia nursing staff score higher on the "Working conditions" factor, while physicians score higher on "Teamwork climate", "Safety climate" and "Stress recognition", showed a coincidence of results on "Job satisfaction" and "Perceptions of management" scales.The neuroradiology department scores higher than the neurology department of German clinics on the factors "Teamwork climate", "Safety climate", "Job satisfaction" and "Working conditions". The coincidence with the results of the mean values in both groups is observed for the factor "Perceptions of management". Russia has the highest scores for most of the factors: "Safety climate", "Job satisfaction", "Perceptions of management" and "Working conditions" were shown by the staff in the reception and diagnostic department. Low scores were found for the factors "Teamwork climate" and "Safety climate" among staff in the infectious diseases department, and "Stress recognition" in the intensive care and combustiology departments.Conclusion. Significant differences were revealed according to the indices "length of professional experience", "professional position" and "department of work" among employees of medical clinics in Russia and Germany. The results enable the identification of target points for the design of a medical organisation development program aimed at increasing the level of evaluation of the safety culture of a medical organisation.
The COVID‑19 pandemic has resulted in exceptional social disruption and consequent changes in quality of life. Assessment of the health-related quality of life in patients infected with the SARS-CoV‑2 (2019-nCoV) virus in a covid hospital is an urgent public health issue that affects the organization of medical care processes and the planning of rehabilitation programs. Purpose of the study is to determine the level of health-related quality of life in patients with COVID‑19 on the first day of inpatient treatment for comparison with pre-pandemic norms and planning targeted rehabilitation programs. Materials and methods. A study of the quality of life was carried out using the EuroQol EQ‑5D‑5L questionnaire assessing the Index EQ and EQ VAS indicators. Using the method of simple random sampling, the data of patients were collected for three sets having following features: “Both sexes”, “Men”, “Women”. The analysis was carried out using descriptive statistics methods. Results. The indicators of health-related quality of life in patients with COVID‑19 on the first day after admission are lower than the pre-pandemic population norms for Moscow residents according to Index EQ by 20%, according to EQ VAS by 29%, on average. Women have more health limitations than men in all EQ‑5D‑5L domains, which is proportionally lower than population norms. In 3,7% of patients on admission to the hospital, the type of quality of life corresponded to “a condition worse than death”, which was practically not observed in the pre-pandemic period in Moscow residents. The greatest losses are observed in the “Self-Care” and “Mobility” domains, both for men and women. On admission to the hospital, no differences were found in the pre-pandemic and pandemic levels of health limitations in the “Anxiety/Depression” domain. Conclusions. The results of the study can be used by specialists from various branches to plan clinical, service, educational, economic, and other public health programs related to the rehabilitation of patients who have had COVID‑19. And it also represents an indispensable additional material for further sociological and clinical research.
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