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月随机抽取上海市中医医院257名医务人员,应用患者安全文化现状评价调查问卷进行调查,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,提示具有重要的研究意义。其中药剂人员(4.5±0.6)以及护理部工作人员(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患者安全文化,副/高级(4.8±0.4)>中级(4.6±0.6)>初级(4.4±0.5)。患者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"反应率﹤50%,是医务人员共同认为有待改进地方的前几位。结论某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人员教育培训。
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＇ safety culture and attitudes related to patients＇ safety culture institutions, the application status of patient safety culture assessment questionnaire was used to evaluate 257 hospital medical staffs which were selected in Jan- uary 2012 randomly. Results The results of different professional medical workers in teamwork, safety measures, hospital management and shift differences between programs, suggesting that it has an 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 and senior （4.8 _＋ 0.4） 〉 intermediate （4.6 -＋ 0.6 ） 〉 elementary （4.4 ＋ 0.5 ）. Areas for improvement of safety culture in- cluded ＂staffing＂, ＂work＂, ＂If medical safety （adverse） events, more emphasis on helping hospitals and educa- tion＂ is common that the medical staff of the first few areas for improvement, 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 ad- verse event reporting system and to strengthen the safety management and training nf the high - risk ~aetinn~
出处
《解放军医院管理杂志》
2014年第1期26-29,共4页
Hospital Administration Journal of Chinese People's Liberation Army
关键词
中医医院
医务人员
医院安全文化
医方安全
traditional Chinese medicine hospital
medical staff
hospital safety culture
safety of medical staff
