健康发展与政策研究2025，Vol.28Issue(3)：322-328,7.DOI:10.12458/HDPR.202407095
上海市某专科医院医疗质量安全不良事件医务人员报告意愿现状及影响因素分析
Current situation and analysis of influencing factors of medical staff's willingness to report medical adverse events in a specialized hospitals in Shanghai
摘要
Abstract
Objective This paper is to study the current situation of medical staff's willingness to report medical adverse events in a specialized hospital in Shanghai,and to analyze the influencing factors.Method A total of 459 medical staff from a specialized hospital were surveyed by using convenient sampling method with a questionnaire from April to June 2023.Results The average score of nurses was higher than that of the clinical physicians and medical technicians in the dimensions of information,behavioral attitude,and subjective norms(P＜0.01).The average score of medical staff with less than 5 years of work experience was lower than those with longer working years in the dimension of perceived behavioral control(P＜0.05).The average score of medical staffwith junior professional titles was higher than those with deputy senior titles and above in the dimension of information(P＜0.01).The average score of medical staffwith administrative positions was higher than those without positions in the dimension of willingness to report(P＜0.01).More than 70%of medical staff knew about medical safety adverse events.Over 90%agreed that reporting adverse events was meaningful.And over 40%perceived obstacles and had concerns in the process of reporting.The dimensions of information(r=0.32,P＜0.01),behavioral attitude(r=0.28,P＜0.01),and subjective norm(r=0.43,P＜0.01)were positively correlated with the score of reporting willingness.The hierarchical regression analysis showed that the information dimension(β=0.12,P＜0.01),subjective norm dimension(β=0.13,P＜0.01)and administrative positions(β=1.10,P＜0.01)had a positive effect on report willingness.Interaction item showed perceived behavioral control had a positive moderating effect between information dimension scores and reporting intention scores.Conclusions The willingness of medical staffto report adverse events still needed to be improved.It was necessary to strengthen the training of personnel in various positions,perfect the systems,and optimize the reporting procedures to enhance their willingness.关键词
医务人员/不良事件报告/意愿/影响因素Key words
medical staff/medical adverse event reporting/willingness/influencing factor分类
医药卫生引用本文复制引用
翁小瑜,方超,席淑新,吴岳军..上海市某专科医院医疗质量安全不良事件医务人员报告意愿现状及影响因素分析[J].健康发展与政策研究,2025,28(3):322-328,7.基金项目
国家卫生健康委医院管理研究所医疗质量(循证)管理研究项目(YLZLXZ23G048) （循证）
复旦大学医院管理建设项目重点项目(FDYGC20230305) （FDYGC20230305）
复旦大学附属眼耳鼻喉科医院党建研究课题项目(WG2024004) （WG2024004）
