摘要
目的了解医务人员对患者安全文化认知及建设的现状,为患者安全管理及研究提供依据。方法 2012年1月随机抽取某三级甲等中医医院257名医务人员,应用患者安全文化现状评价调查问卷,用以了解临床医务人员的患者安全文化态度及其机构相关的患者安全文化。结果不同专业医务工作者在团队精神、安全措施、医院管理及交接班程序之间存在差异,提示它具有重要的研究意义。其中药剂人员(4.5±0.6)以及护士(4.5±0.6)的总分认知度最高,医技人员总分认知度最低(4.4±0.5)。不同职务的医务人员认同的病人安全文化:高(副)级(4.8±0.4)>中级(4.6±0.6)>初级(4.4±0.5)。安全文化待改进领域:"人员配置"、"工作量"、"如果发生医疗安全(不良)事件,医院更加重视帮助与教育"的反应率﹤50%,居医务人员共同认为的有待改进的地方的前几位。结论某三级甲等医院有积极的患者安全文化,但仍需完善现有的不良事件报告系统及加强高风险科室的安全管理与培训。
Objective To find out the status of patient safety culture by medical staff and construction and to provide the basis for patient safety management and research. Methods in order to understand the clinical staff of patients＇ safe ty culture and attitudes related to patients safety culture institutions, the application status of patient safety culture as sessment questionnaire was used to evaluate 257 hospital medical staffs which were selected in January 2012 randomly. Results The results of different professional medical workers in teamwork, safety measures, hospital management and shift differences between programs, suggest that it has important significance. The results show that difference exists in the respect of teamwork, safety measures, hospital management and shift among medical workers of different fields. The pharmacists （4.5 ± 0.6） and nursing staff of the department get the highest total score （4.5±0.6）, while the medical technicians get the lowest score （4.4 ±0.5）. Various positions of the medical staff Recognized patient safety culture of medical staff of various professional ranks： associate/senior （4.8±0.4）〉intermediate （4.6±0.6）〉elementary （4.4±0.5）. The improvement of safety culture： ＂staffing＂, ＂work＂, ＂If medical safety （adverse） events, more emphasis on helping hospitals and education＂ is common that the medical staff of the first few areas for improvement, with the reaction rate 〈50%. According to the questionnaire, ＂staffing＂, ＂work＂, ＂If medical safety （adverse） events, more emphasis on helping hospitals and education＂, are commonly regarded as prior areas that need to be improved, with a reaction rate less than 50%. Conclusion The hospital has a positive patient safety culture, but it still needs to improve the existing adverse event reporting system and to strengthen the safety management and training of the highrisk sections.
出处
《中国医院管理》
2013年第10期19-21,共3页
Chinese Hospital Management
基金
上海申康医院发展中心市级医院临床管理优化项目(SHDC 2012611)
关键词
医务人员病人安全
安全文化
认知
medical staff, patients＇ safety, safety culture, cognition
