首页|某三甲医院医务人员患者安全文化现状及影响因素研究

某三甲医院医务人员患者安全文化现状及影响因素研究

Study on the current status and influencing factors of patient safety culture among medical staff in a tertiary hospital

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目的:探讨某三级甲等综合医院医务人员患者安全文化现状、薄弱环节及影响因素.方法:采用方便抽样法与医院患者安全文化调查表(HSOPSC)对该院1336名医务人员进行横断面调查.结果:该院患者安全文化总体得分(3.78±0.51)分,总体积极反应率66.65%.患者安全文化的优势维度有5个,分别为科室内团队合作(82.49%)、管理者促进安全的意愿和行动(79.06%)、组织学习与持续改进(86.73%)、对患者安全的管理支持(78.84%)和对差错的反馈与沟通(79.49%),待改进领域分别为人员配置(39.78%)和对差错的非惩罚反应(41.79%).结论:是否有行政职务、日均加班时长、非处罚性上报制度的知晓情况是医院患者安全文化的影响因素(P<0.05).合理调配人力资源、营造非惩罚性文化是提高患者安全文化的重要举措.
Objective:The aim of this study was to investigate the current state,weaknesses and influencing factors of patient safety culture among medical staff in a tertiary comprehensive hospital.Methods:A cross-sectional survey was conducted among 1,336 healthcare personnel in the hospital using the hospital survey of patient safety culture(HSOPSC)through a convenience sampling method.Results:The overall score for patient safety culture in the hospital was 3.78±0.51,with an overall positive response rate of 66.65%.There were five strengths identified in the patient safety culture,including teamwork within departments(82.49%),managers'willingness and actions to promote safety(79.06%),organizational learning and continuous improvement(86.73%),management support for patient safety(78.84%),and feedback and communication about errors(79.49%);areas requiring improvement were identified as staffing(39.78%)and non-punitive response to errors(41.79%).Conclusion:Factors that influenced the patient safety culture in the hospital included administrative position,average daily overtime hours,and awareness of a non-punitive reporting system(P<0.05).Rational allocation of human resources and fostering a non-punitive culture are crucial measures for enhancing patient safety culture.

patient safetysafety cultureinfluencing factors

孟娜娜、赵丹娜、王玉、杨五洋

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安徽医科大学第二附属医院质量管理办公室 安徽合肥 230601

患者安全 安全文化 影响因素

2020年安徽省高校科学研究重点项目安徽医科大学卫生政策研究中心开放项目安徽医科大学思想政治工作研究课题

SK2020A01432022wszc042023xszh14

2024

安徽医专学报
安徽医学高等专科学校

安徽医专学报

影响因子:0.441
ISSN:2097-0196
年,卷(期):2024.23(3)