基于结构方程模型的急诊科病人安全影响因素研究  

Study on patient safety influence factors in emergency department based on structural equation model

作　　者：吴国松[1] 赵璐[1] 柯云南[2] 王红娜 李洋[1] 李思文[1] 由美迪 毛静馥[1] 全虎德[4] 

机构地区：[1]哈尔滨医科大学卫生管理学院人力资源管理学教研室 [2]哈尔滨市卫生局医政处 [3]宜春市出入境检验检疫局 [4]加拿大卡尔加里大学

出　　处：《中国医院》2015年第4期69-71,共3页Chinese Hospitals

基　　金：黑龙江省卫生和计划生育委员会科研课题(2013123)

摘　　要：目的:通过分析急诊科病人安全的影响因素及其作用机制,为防止医疗差错、促进病人安全提供科学依据。方法:研究采用横断面设计,共有506名医护人员参与本次问卷调查,结合个人深入访谈结果,运用因子分析提取公因子,使用结构方程模型分析各个因子之间的作用关系及强度。结果:在拟合良好的急诊病人安全影响因子结构方程模型中,比较标准化总效应绝对值可知,对急诊科病人安全影响大小的因子依次是急诊抢救能力、对安全管理的重视程度、职业生涯认知、差错报告机制和知识技能培训。结论:以上5个因素对于制定保障急诊科病人安全的管理策略具有一定的借鉴意义。Objectives： To analyze patient safety influence factors and its mechanism in emergency department to provide reference on preventing medical defaults and protecting patient safety. Methods： With a cross-sectional design, 506 healthcare workers were participated in this study. In depth interview was used as a reference. Factor analysis and SEM were used to evaluate the strength and relationship between factors. Results： In the well simulate equation, the strength of the factors is： Rescue Ability Safety Management PerceptionCareer Perception Medical Error Report System Knowledge and Skill Training. Conclusion： These five factors could provide scientific evidence to make countermeasures towards medical error and improve patient safety.

关 键 词：急诊科 病人安全 结构方程模型 

分 类 号：R195.1[医药卫生—卫生统计学]