| 摘要: |
| ????? 目的 了解医务人员对患者安全文化认知及建设的现状，为患者安全管理及研究提供依据。方法 2012年1月随机抽取某三级甲等中医医院257名医务人员，应用患者安全文化现状评价调查问卷，用以了解临床医务人员的患者安全文化态度及其机构相关的患者安全文化。结果 不同专业医务工作者在团队精神、安全措施、医院管理及交接班程序之间存在差异，提示它具有重要的研究意义。其中药剂人员（4.5±0.6）以及护士（4.5±0.6）的总分认知度最高，医技人员总分认知度最低（4.4±0.5）。不同职务的医务人员认同的病人安全文化：副/高级（4.8±0.4）＞中级（4.6±0.6）＞初级（4.4±0.5）。安全文化待改进领域：“人员配置”、“工作量”、“如果发生医疗安全（不良）事件，医院更加重视帮助与教育” 反应率﹤50%，是医务人员共同认为的有待改进的地方前几位。结论 某三甲医院有积极的患者安全文化，但仍需完善现有的不良事件报告系统及加强高风险科室的安全管理与培训。 |
| 关键词: 医务人员 病人安全 安全文化 认知 |
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| Survey and Analysis of Ptient Safety Culture by Medical Staff |
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| Abstract: |
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????? Objective
To find out the status of patient safety culture by medical staff and construction and to provide the basis for patient safety management and research. Methods In order to understand the clinical staff of patients’ safety culture and attitudes related to patients’ safety culture institutions, the application status of patient safety culture assessment questionnaire was used to evaluate 257 hospital medical staffs which were selected in January 2012 randomly. Results The results of different professional medical workers in teamwork, safety measures, hospital management and shift differences between programs, suggesting that it has an important significance. The results show that difference exists in the respect of teamwork, safety measures, hospital management and shift among medical workers of different fields. The pharmacists (4.5 ± 0.6) and nursing staff of the Department get the highest total score (4.5 ± 0.6), while the medical technicians get the lowest score (4.4 ± 0.5).Various positions of the medical staff Recognized patient safety culture of medical staff of various professional ranks: associate / Senior (4.8 ± 0.4)> ??intermediate (4.6 ± 0.6)> elementary (4.4 ± 0.5). [Areas for improvement of safety culture: "staffing", "work", "If medical safety (adverse) events, more emphasis on helping hospitals and education" is common that the medical staff of the first few areas for improvement, the reaction rate <50%. According to the questionnaire, "staffing", "work", "If medical safety (adverse) events, more emphasis on helping hospitals and education", are commonly regarded as prior areas that need to be improved, with a reaction rate less than 50%. Conclusion The hospital has a positive patient safety culture, but it still needs to improve the existing adverse event reporting system and to strengthen the safety management and training of the high-risk sections. |
| Key words: medical staff,patients’ safety,safety culture,cognition |
