首页|长治市医护人员医疗安全不良事件报告意愿现状调查及影响因素分析

长治市医护人员医疗安全不良事件报告意愿现状调查及影响因素分析

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目的 探讨长治市医护人员医疗安全不良事件(以下简称不良事件)报告意愿现状及影响因素.方法 于2023年6-9月纳入长治市辖区内4家医院的医护人员作为调查对象.采用自制调查问卷收集医护人员的一般资料、不良事件报告意愿及影响因素,采用单因素分析和多重线性回归方法分析医护人员不良事件报告意愿的影响因素.结果 本研究共对1 124名医护人员进行调查,不良事件报告意愿评分为(54.88±8.17)分;多重线性回归分析结果显示,三级医院(β'=0.086)、年龄(β'=0.226)、职称(中级β'=0.199,高级β'=0.228)、工作年限(β'=0.103)、不怕受到批评处罚(β'=0.059)、认为影响不大且可以补救(β'=-0.080)、医院对不良事件的范围定义明确(β'=0.077)、医院对不良事件的报告程序明确(β'=0.075)、报告后会有反馈和改进措施(β'=0.069)、不良事件报告宣传培训到位(β'=0.080)是医护人员不良事件报告意愿的影响因素(P<0.05或P<0.01).结论 长治市医护人员不良事件报告意愿较低,受医院等级、年龄、职称、工作年限、个人及管理机制等多种因素影响.可从完善管理机制、提高医护人员对不良事件报告的认知水平、营造良好的安全管理文化氛围等方面采取针对性措施进一步提高医护人员不良事件的报告意愿.
Willingness of medical staff to report adverse medical safety events and its influencing factors in Changzhi City
Objective To explore the current situation and influencing factors of medical staff's willingness to report adverse medical safety events(hereinafter referred to as adverse events)in Changzhi City.Methods From June to Septem-ber 2023,medical staff in 4 hospitals under the jurisdiction of Changzhi City were included as investigation objects.Gen-eral data,willingness to report adverse events and influencing factors of medical staff were collected by self-made question-naire,and the influencing factors of willingness to report adverse events were analyzed by univariate analysis and multiple linear regression method.Results A total of 1 124 medical staff were investigated in this study,and the score of willing-ness to report adverse events was(54.88±8.17).Multiple linear regression analysis showed that tertiary hospitals(β'=0.086),age(β'=0.226),professional title(medium-grade β'=0.199,senior β'=0.228),working years(β'=0.103),were not afraid of criticism and punishment(β'=0.059),believed that the impact was small and could be remedied(β'=-0.080),the hospital had a clear definition of the scope of adverse events(β'=0.077),the hospital had a clear reporting procedure for ad-verse events(β'=0.075),there would be feedback and improvement measures after reporting(β'=0.069),and the effective publicity and training of adverse event reporting(β'=0.080)were the influencing factors of medical staff's willingness to re-port adverse events(P<0.05 or P<0.01).Conclusions The willingness of medical staff to report adverse events in Changzhi City is low,which is affected by many factors,such as hospital grade,age,professional title,working years,personal cogni-tion,and management mechanism.Targeted measures can be taken to further improve the medical staff's willingness to re-port adverse events from the aspects of improving the management mechanism,improving the medical staff's cognitive level of adverse event reporting,and creating a good cultural atmosphere of safety management.

Medical staffPatient saftyAdverse eventsReportsWillingness

张敏、马素燕、崔建芳、马贵斌、刘娜、侯云刚

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长治市第二人民医院,山西长治 046000

长治市妇幼保健院

长治医学院附属和平医院

长治市潞州区人民医院

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医护人员 医疗安全 不良事件 报告 意愿

2024

华南预防医学
广东省疾病预防控制中心 中华预防医学会

华南预防医学

CSTPCD
影响因子:1.061
ISSN:1671-5039
年,卷(期):2024.50(10)