中国全科医学2017，Vol.20Issue(35)：4404-4411,8.DOI:10.3969/j.issn.1007-9572.2017.00.004
基层医院患者安全文化现状及其影响因素调查分析
Status and Influencing Factors for Patient Safety Culture in a Primary Hospital
赵星星 1王媛媛 1张莉 2刘薇薇1
作者信息
- 1. 100096 北京市,北京大学第三医院第二门诊部
- 2. 102100 北京市,北京大学第三医院延庆医院
- 折叠
摘要
Abstract
Objective To investigate the patient safety culture in primary hospitals in order to provide an evidence for formulating strategies to improve the patient safety culture in these settings. Methods This cross-sectional study was carried out between July and December 2014. All the health care providers in Peking University Third Hospital Yanqing Hospital were selected as the participants and surveyed by Demographic Questionnaire and the Chinese version of Hospital Survey on Patient Safety Culture (HSOPSC). Univariate and multiple linear regression analyses were performed to investigate the associated factors for the total scores of HSOPSC and scores of its dimensions. Results Totaled 661 questionnaires were responded validly with a response rate of 70. 9% (661 / 932). The results of the survey showed that,only the assessment of " Teamwork across hospital departments" obtained a response rate higher than 75. 00%,indicating this dimension was superior;5 dimensions including "Nonpunitive response to error" " Staffing" " Communication openness" " Frequency of events reported" " Overall perceptions of safety" with a response rate less than 50. 00% needed improvement. There were 90. 8% (600 / 661)of the participants assessing the " Patient safety grade" . Of them,32. 0% (192 / 600)rated it as " Excellent" or " Very good",58. 8%(353 / 600)rated it as " Acceptable",9. 2% (55 / 600)rated it as " Poor" or " Failing" . Totaled 94. 9% (627 / 661)of the participants answered the question of the number of events reported in the past 12 months. Among them,63. 3% (397 / 627)had not reported any events,21. 7% (136 / 627)had reported 1-2 events,8. 1% (51 / 627)had reported 3-5 events,4. 0%(25 / 627)had reported 6-10 events,1. 0% (6 / 627)had reported 11-20 events,and 1. 9% (12 / 627)had reported 21 or more events. Multiple linear regression analysis found that,position was the associated factor for the total scores of HSOPSC (P <0. 05);years of working was the associated factor for the scores of " Communication openness" (P < 0. 05);sex and position were significantly associated with the scores of " Frequency of events reported" (P < 0. 05);educational attainment and position were notably associated with the scores of " Hospital handoffs & transitions" (P < 0. 05);position and working hours per week were substantially associated with the scores of " Hospital management support for patient safety" (P < 0. 05);position and years of working were the associated factors for the scores of " Nonpunitive response to error" (P < 0. 05);sex,position were the associated factors for the scores of " Overall perceptions of safety" (P < 0. 05);age,position,years of working and working hours per week were the associated factors for the scores of " Staffing" (P < 0. 05);sex was the associated factor for the scores of " Supervisor/ manager expectations & actions promoting patient safety" (P < 0. 05);sex was the associated factor for the scores of " Teamwork across hospital departments" (P < 0. 05);educational attainment and position were the associated factors for the scores of " Teamwork within departments" (P < 0. 05). Conclusion The patient safety culture in Peking University Third Hospital Yanqing Hospital is unsatisfactory,which needs further improvement especially in such dimensions as "Nonpunitive response to error" " Staffing" " Communication openness" " Frequency of events reported" " Overall perceptions of safety" .关键词
病人安全/医院/影响因素分析/问卷调查Key words
Patient safety/Hospitals/Root cause analysis/Questionnaires分类
医药卫生引用本文复制引用
赵星星,王媛媛,张莉,刘薇薇..基层医院患者安全文化现状及其影响因素调查分析[J].中国全科医学,2017,20(35):4404-4411,8.
