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国内外医疗机构患者安全文化测评工具的系统综述
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摘要:
目的 了解国内外医疗机构患者安全文化测评工具的特征、优劣点及研究趋势,为后续研究及医院管理提供借鉴与参考。方法 在PubMed和CNKI上,对2000-2016年间国内外公开发表的患者安全测评工具进行系统文献综述。结果 最终检索并纳入68篇文献,涉及20个患者安全文化测评工具;在调查方法上,除MaPSAF采用访谈法之外,另外19个测评工具均采用问卷法;在调查对象上,除Parental-reported hospital safety climate是服务对象之外,另外19个测评工具均是医务人员;PSCHO、MaPSAF、SAQ、HSOPSC和SCOPE 这5个测评工具针对不同机构或国家地区提供了修订版本,其中HSOPSC的修订版本最多达23个。结论 国内外医疗机构患者安全文化测评工具研究日趋成熟,针对不同机构或文化背景的测评工具研究已成为研究热点及趋势之一;建议将患者安全文化测评纳入医疗机构的评审指标或规范化管理流程之中,以更好地促进患者安全和医疗服务质量。
关键词:  患者安全  患者安全文化  测评工具  系统综述
DOI:
基金项目:
Systematic Review of Patient Safety Culture Measuring Tools for Medical Institutions at Home and Abroad
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Abstract:
Objective To analyze current patient safety culture measuring tools’ characteristics, strengths, weaknesses and research trends to provide evidence to future studies and management. Method Using systematic review method, patient safety culture measuring tools, which were published during 2000 and 2016, were reviewed in PubMed and CNKI. Result 68 articles were finally adopted and reviewed, referring to 20 patient safety culture measuring tools. MaPSAF was the only interview tool and other tools were questionnaires; Parental-reported hospital safety climate was the only tool for consumers, and other tools were for medical professionals; PSCHO, MaPSAF, SAQ, HSOPSC and SCOPE had revised versions for different institutions and areas, of which HSOPSC had the most 23 versions. Conclusion Patient safety culture measuring tools for medical institutions had been studied and applied widely. And patient safety culture measuring should be integrated into medical institutions’ assessment indexes and regular procedures to better promote patients’ safety and medical service quality.
Key words:  patient safety, patient safety culture,measuring tool,systematic review

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