基于结构方程模型的用药安全影响因素研究  

Study on Influencing Factors of Drug Safety Based on Structural Equation Model

作　　者：王大鹏[1] 张宇 李会玲[3] 许凤娟[3] 

机构地区：[1]哈尔滨医科大学附属肿瘤医院,黑龙江哈尔滨150081 [2]哈尔滨市卫生和计划生育委员会统计信息中心,黑龙江哈尔滨150010 [3]哈尔滨医科大学附属第一医院,黑龙江哈尔滨150001

出　　处：《中国医院管理》2017年第11期69-71,共3页Chinese Hospital Management

基　　金：黑龙江省卫生计生委科研课题项目(2014-283)

摘　　要：目的通过分析用药安全的影响因素和发生机制,从而提高用药安全性,预防用药差错的发生。方法随机抽取三级、二级医院各6家,分析2010—2016年12家医院的423例用药差错事件发生的原因,同时结合个人访谈的研究方式,访谈用药差错事件发生的相关医护人员及用药安全管理部门领导共计126人,最终通过访谈及文献研究的方法确定了26个用药安全的影响因素。通过运用因子分析结合结构方程模型的方式,分析各个影响因素之间的相互作用及对用药安全的影响程度。结果通过结构方程模型分析可知:药品因素、员工素质、患者因素、社会因素、医院管理都是高度影响用药安全的主要因素。结论通过对关键指标的管理,提出科学、有效的防范措施。Objective Through the analysis of the influencing factors and the mechanism of drug safety,to improve the safety of medication and to prevent the medication errors.Methods Randomly selecting 6 third-grade and 6 second-grade hospitals,analyzing the reason of 423 medication errors in 12 hospitals from 2010 to 2016,and interviewing 126 people who were the relevant medical staff and medication safety management department leaders.And 26 factors of the medication safety were determined by interviews and literature research methods.Factor analysis and SEM were used to analyze the interaction between the various factors and the impact on the safety of drugs.Results Structural equation model analysis shows that the factors of drugs,staff quality,patient factors,social factors and hospital management are the main factors that affect the safety of medication.Conclusion Through the management of key indicators,some scientific and effective preventive measures are proposed.

关 键 词：结构方程 用药安全 影响因素 

分 类 号：R95[医药卫生—药学]