| 摘要: |
| 目的 评估浦东新区实施深化医疗质量与安全管理前后，公立医院病人安全文化的变化。方法 采用中国版医疗机构病人安全文化调查量表，分别于2013和2015年对浦东新区7所公立医院进行问卷调查。结果 与2013年相比，2015年浦东新区公立医院病人安全文化总体负向应答率下降6.04个百分点，各医院分别有2.36~7.50个百分点的降低；值得关注的是，在控制医院员工的个人特征（性别、年龄、受教育程度和工作类型）和医院随机效应后，“害怕受羞辱”、“害怕受责备与惩罚”和“提供安全医疗保健”维度的负向应答率分别降低11.09、9.43和8.77个百分点。结论 浦东新区实施深化医疗质量与安全管理后，病人安全文化状况显著改善，但仍有较大改进空间。 |
| 关键词: 病人安全文化 变化 公立医院 |
| DOI： |
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| Changes of Patient Safety Culture in Public Hospitals in Pudong New Area |
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| Abstract: |
| Objective To evaluate the policy impact of the further management of medical quality and safety, launched by Health and Family Planning Commission of Pudong New Area, on patient safety climate. Methods Questionnaire surveys of employees in 7 public hospitals was conducted with the Chinese version of PSCHO before and after the implementation of the policy. Results Compared with that in 2013, the overall percentage of problematic response in 2015 had declined by 6.04 percentage point as a whole and by 2.36~7.50 percentage point for each hospital. It is worth attention that the problematic response rates for the dimensions of “Fear of shame”, “Fear of blame and punishment” and “Provision of safe care” decreased by 11.09、9.43 and 8.77 percentage point respectively, after controlling employees’ characteristics and hospital random effect. Conclusion The patient safety climate in public hospitals of Pudong New Area has improved significantly since the policy, “Further management of medical quality and safety”, is implemented. However, it needs continuous improvement. |
| Key words: patient safety culture,change,public hospital |
