某三甲医院医务人员对患者安全文化的认知及影响因素调查  

Investigation on cognition and impacting factors of patient safety culture among medical personnel in a Third-class A hospital

作　　者：王飞[1] 古丽尼格尔·艾赛提 尤梦琪 WANG fei;Gulinigeer Aisaiti;YOU Mengqi(Department of Medical Affairs,People′s Hospital of Xinjiang Uygur Autonomous Region,Urumqi 830002,China;School of Public Health,Xinjiang Medical University,Urumqi 830011,China;Department of Social Work,People′s Hospital of Xinjiang Uygur Autonomous Region,Urumqi 830002,China)

机构地区：[1]新疆维吾尔自治区人民医院医务部,乌鲁木齐830002 [2]新疆医科大学公共卫生学院,乌鲁木齐830011 [3]新疆维吾尔自治区人民医院社会工作部,乌鲁木齐830002

出　　处：《新疆医科大学学报》2019年第11期1487-1491,共5页Journal of Xinjiang Medical University

基　　金：新疆维吾尔自治区自然科学基金(2018D01C113)

摘　　要：目的了解新疆维吾尔自治区某三甲医院医务人员对患者安全文化的认知及影响因素,为持续改善患者安全与医疗服务品质提供参考依据。方法采用经改良的汉化版医院患者安全文化调查问卷(HSOPSC),对医务人员进行横断面调查,计算各维度的积极反应率及影响因素。结果2 448名医务人员中女性占75.90%,教育程度集中在本科(45.47%),内、外科占比分别为41.34%、25.90%,初级职称者占比最大(47.22%),工作年限在4~10年占比最大(39.58%),与患者有直接联系的医务人员占88.07%。患者安全文化12个维度的平均得分为(3.326±0.685)分,平均积极反应率为61.30%。“组织学习与持续改进D2”维度的积极反应率>75%,为优势区域;“对错误的非惩罚性反应D12”“人员配置D11”、“沟通的开放性D10”、“交接班及转科D5”4个维度积极反应率均<50%,为待改进区域。年龄、教育程度、工作科室、岗位类别、职称、与患者直接联系与患者安全文化总分比较差异均有统计学意义(P<0.05);性别及科室工作年限与患者安全文化总分比较差异无统计学意义(P>0.05)。年龄、工作科室、岗位类别、与患者直接联系4个因素与患者安全文化总分呈负相关,教育程度、职称与病人安全文化总分呈正相关。结论该院医务人员患者安全文化总体趋中等水平,需加强对影响患者安全文化因素的改进。Objective To understand the the cognition and impacting factors of patient safety culture of medical personnel in a Third-class A hospital in Xinjiang Uygur Autonomous Region,and to provide reference for continuous improvement of patient safety and medical service quality.Methods A cross-sectional survey was conducted by using the improved Chinese version of Hospital Survey On Patient Safety Culture(HSOPSC).A cross-sectional survey was conducted among medical personnel to calculate the positive response rate and impacting factors of each dimension.Results Among the 2 448medical staff,75.90%were female,and the education level was concentrated in undergraduate degree(45.47%).The proportion of internal and surgical treatment was 41.34%and 25.90%respectively.The proportion of junior professional titles was the largest(47.22%),and the working years at range of 4to 10accounted for the largest proportion(39.58%).Medical personnel who had direct contact with patients accounted for 88.07%.The average score of 12dimensions of patient safety culture was(3.326±0.685),and the average positive reaction rate was 61.30%.The positive response rate of“Organizational Learning and Continuous Improvement D2”dimension was more than 75.00%,which was the dominant area;the positive response rates of the four dimensions of“non-punitive response to errors D12”,“staffing D11”,“open communication D10”,“transfer and transfer D5”were all less than 50.00%,which were the aspects to be improved.There were significant differences in age,education level,work department,job category,job title,contact with patients and the total score of patient safety culture(P<0.05);there were no significant difference between the sex,the working years of the department and total safety culture scores(P>0.05).Age,work department,job category and patient contact were negatively correlated with the total score of patient safety culture,while educational level,professional title were positively correlated with the total score of patient safety cul

关 键 词：患者 安全文化 影响因素 

分 类 号：R195[医药卫生—卫生统计学]