FEATURES OF SAFETY CULTURE ASSESSMENT BY USING THE METHOD OF ANALYSIS OF HIERARCHIES BASED ON THE SURVEY OF TEACHERS OF CLINICAL DEPARTMENTS OF THE DENTAL PROFILE

Aim. Determining the features of safety culture, the assessment by using the method of analysis of hierarchies based on the survey of teachers of clinical departments of the dental profile and establishing its main stages. Materials and methods. The research was conducted on the basis of departments of stomatological profile O. O. Bogomolets National Medical University using hygienic, medical sociological and statistical methods, which should be considered a prerequisite for the implementation of the method of analysis of hierarchies (methodology of group examination followed by ranking and pairwise comparison). Results. Based on the application of the method of analysis of hierarchies based on a survey of teachers of clinical departments of the dental profile, the leading components of safety culture were determined, namely: the degree of influence on the level of safety culture and the patient's body of the leading characteristics of dangerous actions of medical personnel related to the operation of equipment, the organization of medical and diagnostic process, use of means of individual and collective protection (component No. 1); the degree of influence on the level of safety culture and the patient’s organism of both strengths and weaknesses in creating the safety of the treatment environment through the culture of awareness, reporting, justice, training (component No. 2), the degree of influence on the level of safety culture and the patient's organism of hygienic and safe working conditions at the workplace of medical personnel (component No. 3), as well as a scientifically based algorithm for assessing the level of safety culture in modern health care institutions. Conclusions. The created algorithm for analytical assessment of the level of safety culture in modern health care institutions provides for the implementation of the following stages: determination of the structural features of the leading components of safety culture and the development of a scoring scale for their evaluation; carrying out an expert assessment of the leading components of the safety culture and establishing the degree of consistency of experts' opinions; calculation of the weighting coefficients of the influence of various components on the formation of a certain level of safety culture; justification of objective statistical approaches to assessing the level of safety culture.