[1]邱阳阳刘宗燕闫冬勤秦春香陈兵林.不良事件上报障碍与患者安全文化的相关性研究[J].中国卫生质量管理,2022,29(09):34-38.[doi:10.13912/j.cnki.chqm.2022.29.9.08 ]
　QIU Yangyang,LIU Zongyan,YAN Dongqin.The Correlation Between Adverse Event Reporting Barriers and Patient Safety Culture[J].Chinese Health Quality Management,2022,29(09):34-38.[doi:10.13912/j.cnki.chqm.2022.29.9.08 ]

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不良事件上报障碍与患者安全文化的相关性研究

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 第29卷期数: 2022年09期页码: 34-38 栏目: 患者安全出版日期: 2022-09-28

Title:: The Correlation Between Adverse Event Reporting Barriers and Patient Safety Culture

作者:: 邱阳阳刘宗燕闫冬勤秦春香陈兵林; 郑州大学第一附属医院南院区

Author(s):: QIU Yangyang; LIU Zongyan; YAN Dongqin; South Hospital District of the First Affiliated Hospital of Zhengzhou University

关键词:: 不良事件; 上报障碍; 安全文化; 相关性; 路径分析; 患者安全

Keywords:: Adverse Events; Reporting Barriers; Safety Culture; Correlation; Path Analysis; Patient Safety

分类号:: R192；R197.323

DOI:: 10.13912/j.cnki.chqm.2022.29.9.08

文献标志码:: A

摘要:: 目的探讨不良事件上报障碍与患者安全文化之间的相关性，为提高不良事件上报率提供建议。方法以某三甲医院304名临床医师和医技人员为研究对象，采用《不良事件上报障碍量表》《患者安全文化测评量表》进行调查，使用SPSS 25.0软件和AMOS 22.0软件进行数据统计分析，利用Mplus 8.6软件进行路径分析。结果不良事件上报障碍量表总分与患者安全文化测评量表总分呈负相关（r=-0.612,P＜0.01）,两量表各维度之间也均呈负相关（r=-0.570～-0.356,P＜0.01）。患者安全文化测评量表各维度除对不良事件上报障碍产生直接负效应（β=-0.702～-0.387,P＜0.05）外，也可作为中介变量间接对其产生负效应（β=-1.937～-0.091,P＜0.05）。结论医院应强化高职称、长工龄职工的安全教育培训，构建非惩罚性的不良事件上报机制，加强领导重视和内部沟通，营造安全文化氛围，提高不良事件上报率。

Abstract:: ObjectiveTo explore the correlation between adverse event reporting barriers and patient safety culture, and provide suggestions for improving adverse event reporting rate.MethodsA total of 304 medical staff in a tertiary hospital were recruited to complete adverse event reporting barriers scale and patient safety culture evaluation scale. The SPSS 25.0 software and AMOS 22.0 software were used for statistical analysis of data, and Mplus 8.6 software was used for path analysis.ResultsThere was a negative correlation between the total score of the adverse event reporting barriers scale and the total score of the patient safety culture evaluation scale (r =-0.612, P < 0.01), and there was also a negative correlation between the dimensions of the two scales (r=-0.570～-0.356, P < 0.01). Each dimension of patient safety culture not only had a direct negative effect on the reporting barrier of hospital adverse events (β=-0.702～-0.387, P < 0.05), but also had an indirect negative effect as an intermediary variable (β=-1.937～-0.091, P < 0.05).Conclusion Hospitals should strengthen safety education and training for staff with high professional titles and long service life, construct a non-punitive adverse event reporting mechanism, strengthen leadership attention and internal communication, create a good safety culture atmosphere, and improve the reporting rate of adverse events.

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更新日期/Last Update: 2022-09-28