| 摘要: |
| 目的 构建适合我国公立医院的病人安全文化测评量表，并分析我国公立医院病人安全文化现状。方法 对我国东、中、西部3省（直辖市）54所公立医院员工进行问卷调查。结果 中国版医疗机构病人安全文化调查量表信、效度可以接受；我国公立医院病人安全文化处于中上水平（总体平均分为3.80分）；在“害怕受责备与惩罚”“害怕受羞辱”“提供安全的医疗保健”和“组织安全资源”的维度上，评分相对较低；不同地区、等级公立医院病人安全文化存在一定差异。结论 我国公立医院病人安全文化尚未达到令人满意的程度，政府卫生主管部门和医院管理者需要营造更好的病人安全文化，尤其应加强西部地区医院和二级医院的病人安全文化建设。 |
| 关键词: 病人安全文化 公立医院 横断面研究 |
| DOI： |
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| Status of Patient Safety in Public Hospitals in China |
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| Abstract: |
| Objective To construct assessment scale of patient safety climate for public hospitals of China and to analyze the status of patient safety climate. Methods Questionnaire survey of employees in 54 public hospitals from three provinces (or municipality) located in eastern, central and western regions of China was conducted. Results The reliability and validity of Chinese version of the PSCHO was acceptable. The patient safety climate in China was moderately positive (with an overall mean score of 3.80). The scales of “Fear of blame and punishment”, “Fear of shame”, “Provision of safe care” and “Organizational resources for safety” were among the lowest scores. The patient safety climate varied somewhat in public hospitals in different regions and at different levels. Conclusion The patient safety climate in public hospitals of China has not been satisfying. Health Authorities and hospital managers should create better patient safety climate, especially in hospitals in western regions and at secondary level. |
| Key words: patient safety culture,public hospital,cross-sectional study |
