医疗质量(安全)不良事件上报障碍与患者安全文化相关性研究  

Research on the Correlation between Adverse Event Reporting Barriers in Medical Quality (Safety) and Patient Safety Culture

作　　者：崔杨 张晓亮[2] 吴江 张雪 Cui Yang;Zhang Xiaoliang;Wu Jiang;Zhang Xue(College of Humanities and Social Sciences,Harbin Medical University,Harbin,Heilongjiang,150076,China;不详)

机构地区：[1]哈尔滨医科大学人文社会科学学院,黑龙江哈尔滨150076 [2]哈尔滨医科大学附属第四医院,黑龙江哈尔滨150001

出　　处：《中国医院管理》2025年第4期61-65,共5页Chinese Hospital Management

基　　金：哈尔滨医科大学创新科学研究资助项目(2021-KYYWF-0310)。

摘　　要：目的 调查黑龙江省三级公立医院卫生专业技术人员患者安全文化现况,分析患者安全文化与医疗质量(安全)不良事件上报障碍的相关性,为保障患者安全提供参考。方法 对黑龙江省内3所三级甲等医院在职在岗职工随机发放问卷,每所医院发放200份。调查内容包括社会人口学特征调查表、不良事件上报障碍量表以及患者安全文化量表。采用t检验和方差分析进行单因素分析,采用Pearson分析进行相关性检验,采用多元线性回归分析不良事件上报障碍的影响因素。结果 不良事件上报障碍量表与患者安全文化量表在总分及各维度得分间均呈负相关(P<0.05)。婚姻、科室、是否承担高校教学任务及是否担任研究生导师是不良事件上报障碍的影响因素,差异均有统计学意义(P<0.05)。结论 医院应对标国家相关政策,加强患者安全文化建设,聚焦非医疗因素,提升医师不良事件上报意识,健全不良事件闭环管理机制。Objective To investigate the current status of patient safety culture among health professionals in tertiary public hospitals in Heilongjiang Province,explore the correlation between patient safety culture and adverse event reporting barriers in medical quality(safety),and discuss feasible strategies to improve the reporting rate of adverse events,providing valuable references for promoting the high-quality development of public hospitals and ensuring patient safety. Methods Questionnaires were randomly distributed to the on-the-job employees of three Grade-A hospitals in Heilongjiang Province,and 200 copies were distributed to each hospital. The contents of the survey included:sociodemographic characteristics questionnaire, adverse event reporting disorder scale and patient safety culture scale,t-test and analysis of variance were used for univariate analysis,Pearson analysis was used for correlation test,and multiple linear regression was used to analyze the influencing factors of adverse event reporting obstacles.Results The barriers to adverse event reporting are negatively correlated with the total score and each dimension scores of the patient safety culture assessment scale(P<0.05). Factors influencing the barriers to adverse event reporting include marital status,work department,whether it is involve in university teaching duties,and whether it is served as a postgraduate supervisor,and the differences were statistically significant(P<0.05). Conclusion Hospitals should align with national and provincial policies, strengthen the construction of safety culture systems and mechanisms, focus on non-medical factors, enhance doctors' awareness of adverse event reporting, improve management team building,and refine the adverse event management chain.

关 键 词：医疗质量(安全)不良事件 上报障碍 患者安全文化 

分 类 号：R197.323.4[医药卫生—卫生事业管理]