MODEL DEVELOPMENT THE CAPACITY OF HEALTH WORKERS PERFORMANCE AND RISK AND SAFETY MANAGEMENT IN HEALTH SERVICE SYSTEM : CASE STUDY IN SECONDARY HOSPITAL, PHETCHABUN PROVINCE

Abstract

Safety culture in organization is the process to develop the patient safety. The research aimed to study and develop the model development the capacity of health worker’s performance and risk and safety management in health service system. Research methodology was the mixed methods research composed 2 phrases. The quantitative research, population was 240 health workers worked in Secondary hospital and systematic random sampling was determined for data collection by questionnaires composed of 5 parts; such as characteristic, knowledge, attitude, patient safety component, and capacity of health worker performance and risk and safety management. In addition to check questionnaire standardization, testing reliability by Cronbach’s coefficient alpha about 0.867. The qualitative research, population was 25 health workers who completed questionnaire answering and purposive random sampling was determined for interviewing and focus group. The semi-structured interview was applied by questionnaire item, data analysis as follow by percentage, standard deviation and content analysis.  

As a quantitative resulted, patient safety component had mean score with high level (82.55%). The capacity of health worker’s performance and risk and safety management  had mean score with high level (86.79%). Guideline for   the model development the risk and safety management in health service system including structure, strategy, system for working, health worker’ skill, the style working, staff, and shared value. Suggestion, Chief of organization should be determining the guideline of risk and safety management for every department in secondary hospitals.