[1]邵小莉翟凯田磊韩琳王欣李晓艳.陕西省6所三级医院患者安全文化现状及影响因素研究[J].中国卫生质量管理,2021,28(04):055-58.[doi:10.13912/j.cnki.chqm.2021.28.4.16 ]
 SHAO Xiaoli,ZHAI Kai,TIAN Lei.Status and Influencing Factors of Patient Safety Culture in Six Tertiary Hospitals in Shaanxi Province[J].Chinese Health Quality Management,2021,28(04):055-58.[doi:10.13912/j.cnki.chqm.2021.28.4.16 ]
点击复制

陕西省6所三级医院患者安全文化现状及影响因素研究
分享到:

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第28卷
期数:
2021年04期
页码:
055-58
栏目:
患者安全
出版日期:
2021-04-28

文章信息/Info

Title:
Status and Influencing Factors of Patient Safety Culture in Six Tertiary Hospitals in Shaanxi Province
作者:
邵小莉翟凯田磊韩琳王欣李晓艳
西安医学院第一附属医院
Author(s):
SHAO XiaoliZHAI KaiTIAN Lei
The First Affiliated Hospital of Xi'an Medical University
关键词:
医院患者安全文化患者安全等级影响因素
Keywords:
HospitalPatient Safety Culture Patient Safety GradeInfluencing Factors
分类号:
R197.323
DOI:
10.13912/j.cnki.chqm.2021.28.4.16
文献标志码:
A
摘要:
目的了解陕西省三级医院患者安全文化现状,分析影响因素,为推动医院文化建设、实现医院安全管理提供参考。方法于2018年7月-9月向陕西省6所三级医院的医务人员发放问卷进行横断面调查,运用SPSS 22.0软件对所获数据进行统计分析。结果调查医务人员共计1 065名。患者安全文化总体评分为(3.74±0.41)分,83.00%的医务人员认为患者安全等级“非常好”或“很好”。患者安全等级的影响因素有性别、最高学历、用工形式、参与6S培训(P<0.05)。对错误的反馈与交流、医院交接班与转科程序、医院管理支持、对患者安全的全面理解和医院各部门之间的协作等维度与患者安全等级呈正相关(P<0.05)。结论参与调查的医院患者安全文化总体水平中等偏上。医院应积极使用质量管理工具,针对不同人员采用个性化措施,加大管理支持力度,重视差错事件的持续改进,以不断提升患者安全管理水平。
Abstract:
ObjectiveTo investigate the status of patient safety culture in tertiary hospitals in Shaanxi province, and analyze the influencing factors, so as to provide reference for promoting the construction of hospital culture and realizing hospital safety management.MethodsFrom July to September 2018, a cross-section survey was conducted among medical staff in six tertiary hospitals in Shaanxi. The SPSS 22.0 software was used for statistical analysis.ResultsA total of 1 065 medical personnel were surveyed. The overall patient safety culture score was (3.74±0.41), and 83.00% of the medical staff thought the patient safety grade was "very good" or "good". The influencing factors of patient safety grade were gender, highest education, employment form, participation of 6S training (P<0.05). Feedback and communication of errors, shift and department transfer procedures, hospital management support, comprehensive understanding of patient safety and collaboration among different departments of the hospital were positively correlated with the patient safety grade (P<0.05).Conclusion The overall level of safety culture of patients in the surveyed hospitals was above average. Hospitals should actively use quality management tools, adopt personalized measures for different personnel, increase management support, pay attention to continuous improvement of error events, so as to continuously improve the level of patient safety management.

参考文献/References:

[1]鲁超,姬芳勤,汪卓赟,等.安徽省某三级综合医院医务人员对患者安全文化认知现状研究[J].中国卫生事业管理,2016,33(10):739-742. [2]Joint commission on accreditation of health care organizations.Comprehensive accreditation manual for Hospitals[R/OL].(2013-01-01)[2020-05-28].https://www.jcrinc.com/-/media/deprecated-unorganized/imported-assets/jcr/default-folders/items/2013_camh_samplepagespdf.pdf?db=web&hash=AA0AA655258FE FC871E3EB922D1A453D. [3]许碧瑜,张晋昕,成守珍,等.创建安全文化保证患者安全[J].中国护理管理, 2009,9(11):52-55. [4]周娟.某三甲医院护理人员对病人安全文化认知现状及对策研究[D].广州:中山大学,2009:72-76. [5]梁爽.北京市三级综合医院病人安全文化现状研究[D].北京:北京协和医学院,中国医学科学院,2014:32-33. [6]李亚军,邵小莉.“5+1”S医院精益管理实践[M].陕西:世界图书出版公司, 2016:1-3. [7]徐小平,邓东宁,柯东阁,等.香港大学深圳医院患者安全文化剖析[J].中国医院, 2017,21(7):11-15. [8]赵星星,王媛媛,张莉,等. 基层医院患者安全文化现状及其影响因素调查分析[J].中国全科医学,2017,20(35):4404-4411. [9]高晓云, 刘晔, 高利伟,等. 优化分级转运联合ISBAR交接模式确保急诊患者安全[J].中国卫生质量管理, 2019, 26(1):56-58. [10]胡外光,龙朝杰. 以患者安全为目标的医院信息化流程再造[J].实用预防医学,2012,19(12):1919-1920 . [11]王刚,黄彩凤,王祎祎,等. 员工对患者安全文化认知的现状调研[J].中国卫生质量管理,2020,27(2):64-67.

相似文献/References:

[1]张竞,丁利华.设置骨科行政主任助理对科室绩效管理的影响[J].中国卫生质量管理,2015,22(06):039.
[2]余中光,常宗平,陈校云,等.项目管理在医院学科建设中的应用[J].中国卫生质量管理,2015,22(06):082.
[3]刘莹,王吉善,张丹,等.医院绩效管理团队奖的实践与探索[J].中国卫生质量管理,2015,22(06):116.
[4]李佳勋,孙秀丽,栗克清.管理工具在医院质量持续改进中的应用[J].中国卫生质量管理,2016,(01?23卷):001.[doi:10.13912/j.cnki.chqm.2016.23.2.01]
[5]李佳勋,孙秀丽,栗克清.管理工具在医院质量持续改进中的应用[J].中国卫生质量管理,2016,23(02):001.[doi:10.13912/j.cnki.chqm.2016.23.2.01]
[6]董军,李军,刘东洋.HIMSS评审促进医院信息化建设[J].中国卫生质量管理,2016,23(03):001.[doi:10.13912/j.cnki.chqm.2016.23.3.01]
[7]任静.医院定岗定编管理路径的探索与思考[J].中国卫生质量管理,2016,23(03):088.[doi:10.13912/j.cnki.chqm.2016.23.3.25]
[8]黄培,易利华.基于JCI的医疗质量持续改进实践与思考[J].中国卫生质量管理,2016,23(04):001.[doi:10.13912/j.cnki.chqm.2016.23.3.01]
[9]李霞,易利华.服务承诺制助力医院服务管理水平提升[J].中国卫生质量管理,2016,23(04):004.[doi:10.13912/j.cnki.chqm.2016.23.3.02]
[10]黄培,钱红英.JCI视角下的医院药学管理实践与讨论[J].中国卫生质量管理,2016,23(04):010.[doi:10.13912/j.cnki.chqm.2016.23.3.04]
[11]胡丹谭晶葛颖杰李晓翠.患者安全文化调查问卷HS-OPSC 2.0版的评价与思考[J].中国卫生质量管理,2021,28(10):055.[doi:10.13912/j.cnki.chqm.2021.28.10.15 ]
 HU Dan,TAN Jing,GE Yingjie.Evaluation and Consideration of the HSOPSC 2.0 Version of Patient Safety Culture Questionnaire[J].Chinese Health Quality Management,2021,28(04):055.[doi:10.13912/j.cnki.chqm.2021.28.10.15 ]

更新日期/Last Update: 2021-04-28