| 摘要: |
| 目的 探索我国公立医院病人安全文化的影响因素。方法 采用中国版医疗机构病人安全文化调查量表对我国东、中、西3省（直辖市）54家公立医院员工进行问卷调查。结果 管理者对病人安全文化总体评价高于医生、护士和医技人员；儿科、ICU、急诊科的员工评价相对较低，而眼耳鼻喉科的员工评价较高。在调整员工个人特征后，湖北省医院病人安全文化评分较高，但湖北省内各医院间病人安全文化差异较大。结论 我国公立医院管理者应加强与临床一线人员的交流与沟通，关注儿科、ICU和急诊科病人安全文化的建设，积极探索改善区域内病人安全文化的有效途径。 |
| 关键词: 病人安全文化 公立医院 影响因素 |
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| Analysis of Influencing Factors Associated with Patient Safety Culture in Public Hospitals in China |
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| Abstract: |
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Objective To explore the factors associated with patient safety climate in public hospitals in China. Methods Questionnaire survey of employees in 54 public hospitals in 3 provinces (or municipality) located in eastern, central, western regions in China was conducted through using Chinese version of the PSCHO. Results Physicians, nurses and medical technicians reported lower levels of safety culture than managers. Employees in pediatric department, ICU and emergency department perceived patient safety culture at lower level, while EENT department (department of eye, ear, nose and throat) perceived at higher level. Higher adjusted mean score and greater variance were found among hospitals in Hubei Province when employees’ characteristics were controlled. Conclusion More communications should be encouraged between managers and front-line employees, the construction of patient safety climate in pediatric department, ICU and emergency department should be concerned and the effective ways to improve regional patient safety climate should be actively explored. |
| Key words: patient safety climate,public hospital,influencing factor |
