摘要
目的:测量影响深圳市公立三级医院患者安全文化的因素,探究临床医生、护理人员、医技人员和行政管理人员在患者安全文化认知上的差异性。方法:采用美国医疗保健与质量研究局发展的患者安全文化调查问卷对深圳市11所三级医院进行随机调查,共回收1621份问卷;使用SPSS 22软件对数据进行统计分析。结果:问卷整体Cronbach'sα为0.873,KMO取样适切性量数为0.929,Bartlett球形度检验显著性P<0.05;问卷总体积极反应率为63.25%,略低于美国的调查结果64.04%(Comparative Database,2016);科室内团队合作(83.93%)、组织学习与持续改进(81.07%)与对错误的回馈和交流(77.57%)是深圳市三级公立医院得分较高的维度;对错误的非惩罚性反应(33.63%)和人员配置(35.70%)是最需要改进的两个维度;医务人员、护理人员、医技人员和行政管理人员在患者安全文化认知上无明显差异性。结论:深圳市三级公立医院在鼓励不良事件通报方面需重视和加强;建立以系统为导向的具有非惩罚性、保密性、独立性、及时性和反应性的患者安全通报体制,形成更好的安全文化氛围,有助于提高管理的效能和降低医疗成本,对医院的管理和长远发展带来巨大的正面效益。
Objectives： To assess and explore factors that affect patient safety culture in Shenzhen tertiary public hospitals. Differences in recognition of patient safety culture among clinicians, nursing staff, medical technicians and administrative staff were also included by this study. Method： A HSOPSC questionnaire was distributed proportionally to employees of 11 Shenzhen public hospitals directly supervised by the Bureau of Public Hospital Administration of Shenzhen Municipality for assessing recognition of patient safety culture. A total of 1621 questionnaires of clinicians, nursing staff, medical technicians and administrative staff were returned. Statistical analyses were conducted by SPSS 22 due to the nature of the survey data. Results The overall Cronbach＇s α of this questionnaire was 0.864, KMO was 0.941, Bartlett sphericity test was P0.05, indicating that questionnaire has good internal validity. The response rate was 63.25%, slightly below the US figure of 64.04%（Comparative Database, 2016）. The highest positive assessment dimensions were： ＂teamwork within hospital unit＂ ＂organizational learning and continuous improvement＂ and ＂feedback and communication about errors.＂ ＂Non-punitive response to errors＂ and ＂staffing＂ are the two dimensions need improve first. There is no significant difference among clinicians, nurses, medical technicians and administrative staff in recognition of patient safety culture. Conclusions System oriented patient safety reporting system with characteristics of non-punishment, confidentiality, independent, timeliness and responsiveness, should be established to improve patient safety reporting culture in Shenzhen. Positive recognition of patient safety culture is beneficiary to improve hospital-patient relation, promote hospital management, reduce healthcare costs, and is of great significance to the long-term development of hospital.
出处
《中国医院》
2017年第9期29-32,共4页
Chinese Hospitals
基金
深圳市科技创新委员会科技计划项目(JCYJ20150403091305474)
