391名医务人员对医疗安全不良事件报告意向的现状调查  

A survey on the current situation of 391 medical staff's intention to report medical safety adverse events

作　　者：陈旭[1] 胡海[1] 吴昊 CHEN Xu;HU Hai;WU Hao(Medical Department of Huguosi Hospital of Traditional Chinese Medicine affiliated to Beijing University of Traditional Chinese Medicine,Beijing 100035,China)

机构地区：[1]北京中医药大学附属护国寺中医医院医务科,100035

出　　处：《中国老年保健医学》2024年第5期61-65,共5页Chinese Journal of Geriatric Care

基　　金：国家中医药管理局监测统计中心深化医改中医药政策研究课题(基于患者安全专项行动监测指标控制的中医医院医疗安全(不良)事件管理研究,编号:YGZXKT2024003)。

摘　　要：目的调查并了解北京某三级中医医院医务人员对医疗安全(不良)事件报告意向、报告认知及报告障碍的现状,为医院的医疗安全培训方案及管理体系研究提供参考依据。方法采用简单随机抽样的方法,于2024年6月使用自制问卷对北京某三级中医医院医务人员进行线上调查。结果共391名医务人员参与调查,其中医生120名(30.69%)、护士164名(41.94%)、医技人员27名(6.91%)、药剂人员46名(11.76%)、职能行政人员14名(3.58%)、后勤人员20名(5.12%)。调查对象对严重程度较高的不良事件报告意向率较高,但对没有造成伤害、潜在漏洞的不良事件报告意向率较低;调查对象对不良事件报告认知的制度、培训认知度较好,但实际“填写过不良事件报告表”占比较低;不同年龄、性别、人员类别、学历、职称调查对象的报告意向、认知和障碍的总分差异有显著统计学意义;报告意向与报告认知之间有正相关关系,与报告障碍之间有负相关关系。结论医院医务人员不良事件报告意向及认知有待提升,下一步将完善构建医院的医疗安全不良事件管理体系,提升全员不良事件报告责任意识,努力构建全流程、全方位的不良事件管理氛围。Objective To investigate and understand the current situation of medical staff s intention to report adverse medical safety events,reporting cognition and reporting obstacles in a tertiary TCM hospital in Beijing,and to provide reference for the hospital s medical safety training program and management system research.Methods A simple random sampling method was used to conduct an online survey of medical staff in a tertiary TCM hospital in Beijing with self-made questionnaire in June 2024.Results A total of 391 medical personnel participated in the survey,including 120 doctors(30.69%),164 nurses(41.94%),27 medical technicians(6.91%),46 pharmaceutical personnel(11.76%),14 functional administrative personnel(3.58%)and 20 logistic personnel(5.12%).Respondents had a higher intention to report adverse events with higher severity,but a lower intention to report adverse events with no harm or potential vulnerabilities.The respondents had a good cognition of the system and training of adverse event reporting,but the actual“filling in the adverse event reporting form”accounted for a relatively low proportion.Different age,gender,personnel category,educational background and professional title have statistically significant differences in the total score of reporting intention,cognition and disability;There is a positive correlation between reporting intention and reporting cognition,and a negative correlation between reporting obstacles.Conclusion The intention and cognition of hospital medical staff to report adverse events need to be improved.The next step will be to improve the construction of hospital medical safety adverse event management system,enhance the awareness of adverse event reporting responsibility of all staff,and strive to build a whole-process and all-round adverse event management atmosphere.

关 键 词：不良事件 报告意向 报告认知 报告障碍 医务人员 

分 类 号：R197.32[医药卫生—卫生事业管理]