中文版医院病人安全文化调查表条目的初步筛选  

Preliminary Item Selection of the Chinese Hospital Patient Safety Culture Questionnaire(C-HSOPSC)

作　　者：张靖婧[1] 焦明丽[1] 刘鹤[1] 邢凯[1] 黄照权[2] 石武祥[2] 刘颖[1] 尤佳[1] 

机构地区：[1]哈尔滨医科大学卫生管理学院,黑龙江哈尔滨150086 [2]桂林医学院人文与管理学院,广西桂林541004

出　　处：《中国医院管理》2015年第9期40-43,共4页Chinese Hospital Management

基　　金：国家自然科学基金资助项目(70903019;71273002);教育部人文社科研究专项任务项目(12JDGC005);黑龙江优秀人才培养计划(1252-NCET-020);联合保险经纪集团公司及哈尔滨医科大学医疗风险管理研究所联合资助

摘　　要：目的将国际通用的医院病人安全文化调查表(HSOPSC)进行改进。方法参考国内外文献形成问卷初稿,经过专家咨询及探索性因素分析筛选和修订条目,初步确定暂定版HSOPSC的维度和条目,使用SPSS13.0医学统计软件,采用Cronbach’sα系数法对问卷总体和各维度的内部一致性进行检测,采用离散趋势法、区分度分析法、相关系数法、因子分析法,对初步量表的60个条目进行筛选。结果将4种方法选中的51个条目保留下来,形成改进后的病人安全文化量表(C-HSOPSC)暂定版量表。其主要内容是医院病人安全文化调查,共分为13个维度、51个条目。13个维度累计贡献率为73.77%,问卷总体Cronbach’sα系数为0.959,各维度的Cronbach’sα系数除了员工(0.553)、安全整体感知(0.565)、差错的非惩罚性反应(0.455)、和开放性沟通(0.559)的较低外,其他维度的Cronbach’sα系数均在0.800以上,最高是事件报告频率,为0.912。结论暂定版量表条目有较好的重要性、敏感性、代表性、独立性及内部一致性,达到了编制要求。Objective The international general hospital patient safety culture questionnaire （HSOPSC） was improved. Methods Consulting literature at home and abroad to form the first draft of the questionnaire. Through consulting with experts and exploratory factor analysis filter and revised entry, tentative version HSOPSC dimensions and items were confirmed preliminarily. Through using SPSS 13.0 medical statistical software and Cronbach＇s e coefficient method of general questionnaire, the internal consistency of each dimension was detected. Through using the method of dis- crete tendency method, the degree of differentiation, correlation coefficient method, factor analysis, 4 methods of preliminary scale 60 filtered items were selected. Results 51 items retain through 4 methods to form C-HSOPSC tenta- tive version of the scale. Its main content is hospital patient safety culture survey, which is divided into 13 dimen- sions and 51 items. The cumulative contribution rate of 13 dimensions is 73.77%, the overall Cronbach＇s e coeffi- cient is 0.959. Expect that the dimension of the Cronbach＇ s α coefficient in employees（0.553）, the overall safety awareness （0.565）, the error of punitive reaction （0.455）, and open communication （0.559） are lower, other dimen- sions of Cronbach＇s α coefficients are over 0.800. Incident report is the highest frequency, which is 0.912. Conclu- sion Interim version of the formation of scale items has good importance, sensitivity, representative, independence and the internal consistency, so it has reached the requirement of preparation.

关 键 词：病人安全文化 测评 病人安全文化调查表 条目 筛选 

分 类 号：R197.32[医药卫生—卫生事业管理]