医护病人安全文化优先干预领域比较研究  

Comparative study on priority intervention areas for physicians, nurses and patients safety culture based on the TOPSIS method

作　　者：房慧莹 李鹏 魏涛 郝静 方工文 韩宗勇 王世梅 项紫霓 谷元野 侯巧睿 焦明丽[2] FANG Huiying;LI Peng;WEI Tao;HAO Jing;FANG Gongwen;HAN Zongyong;WANG Shimei;XIANG Zini;GU Yuanye;HOU Qiaorui;JIAO Mingli(Qingdao Women's and Children's Hospital,No.6,Tongfu Road,Shibei District,Qingdao,266000,Shandong Province,PRC)

机构地区：[1]青岛妇女儿童医院,山东省青岛市266000 [2]哈尔滨医科大学公共卫生学院,哈尔滨市150081

出　　处：《中国医院》2020年第5期36-38,共3页Chinese Hospitals

基　　金：国家自然科学基金(71273002,71473064);黑龙江省学位与研究生教育教学改革研究项目(JGXM-HLJ-2014087);黑龙江省高等教育教学改革立项项目(349);黑龙江优秀人才培养计划(1252-NCET-020);中国博士后科研基金一等资助及特别资助(2015M570211,2016T90181);中国卫生经济学会招标课题。

摘　　要：目的:确定医护病人安全文化优先干预领域并对医生和护士认知现状进行比较研究,从而有针对性地采取措施提高医疗机构病人安全文化氛围,提高医疗服务质量。方法:应用TOPSIS综合评价方法对医护病人安全文化13个维度认知情况进行综合评价,并辅以t检验对医护病人安全文化不同维度认知情况差异进行比较。结果:医生和护士"差错的非惩罚性反应"和"员工"两个维度均亟需进行干预,但医护间存在明显差异且护士认知水平优于医生。结论:管理者应重点加强对医生病人安全文化的培养、建立非惩罚性的医疗差错报告系统、促进医学人才供给与需求有效衔接,进一步推动医院病人安全文化建设。Objective: To identify priority areas for intervention in the culture of patient safety in health care and to conduct a comparative study of the current state of knowledge of doctors and nurses, so that targeted measures can be taken to improve the culture of patient safety in health care institutions and the quality of health services. Methods: The TOPSIS comprehensive evaluation method was applied to evaluate the 13 dimensions of patient safety culture, and the t-test was used to compare the differences between the different dimensions of patient safety culture. Results: Both the "non-punitive response to mistakes" and "staff" dimensions of doctors and nurses require urgent intervention, but there are significant differences between caregivers and nurses have better perceptions than doctors. Conclusion: Managers should focus on strengthening the cultivation of physician-patient safety culture, establishing a non-punitive medical error reporting system, promoting an effective interface between medical talent supply and demand, and further promoting the construction of hospital patient safety culture.

关 键 词：病人安全文化 患者安全 TOPSIS 医院文化 

分 类 号：R197.3[医药卫生—卫生事业管理]