[1]李汀兰,陈贵儒.医院患者安全文化背景下医务人员报告不良事件的影响因素[J].医学信息,2021,34(08):129-133.[doi:10.3969/j.issn.1006-1959.2021.08.034]
　LI Ting-lan,CHEN Gui-ru.Influencing Factors of Adverse Events Reported by Medical Staff Under the Background of Hospital Patient Safety Culture[J].Medical Information,2021,34(08):129-133.[doi:10.3969/j.issn.1006-1959.2021.08.034]
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医院患者安全文化背景下医务人员报告不良事件的影响因素()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年08期
页码:
129-133
栏目:
调查分析
出版日期:
2021-04-15

文章信息/Info

Title:
Influencing Factors of Adverse Events Reported by Medical Staff Under the Background of Hospital Patient Safety Culture
文章编号:
1006-1959（2021）08-0129-05
作者:
李汀兰; 陈贵儒
（阿坝藏族羌族自治州人民医院妇产科1，呼吸内科2，四川 马尔康 623000）
Author(s):
LI Ting-lan; CHEN Gui-ru
(Department of Obstetrics and Gynecology1,Department of Respiratory Medicine2,People’s Hospital of Aba Tibetan and Qiang Autonomous Prefecture,Maerkang 623000,Sichuan,China)
关键词:
不良事件; 安全文化; 事件报告频率
Keywords:
Adverse event; Safety culture; Frequency of events reported
分类号:
R197.323
DOI:
10.3969/j.issn.1006-1959.2021.08.034
文献标志码:
A
摘要:
目的 探索医院患者安全文化背景下影响医务人员报告不良事件的关键因素。方法 于2019年1月~2月方便选取四川省2所三级医院的595名医务人员为研究对象，使用患者安全文化调查问卷、医院的价值和效率调查问卷进行调查。结果 595名研究对象年龄主要集中于30~39岁，女性多于男性，以本科、已婚、护士、正式编制、初级职称、内科、工作年限、当前医院工作年限及当前科室工作年限为1~5年、与患者直接接触、每周工作时间40~59 h、一年内不良事件报告数量为0者居多。患者安全文化各维度的得分最小值为1.000，最大值为5.000，其中员工配置得分最低，同科室内团队合作得分最高，各维度（除员工配置、差错的非惩罚性反应外）与事件报告频率均相关（P＜0.05）。多元线性回归分析显示，对差错的沟通反馈、效率和减少浪费、一年内上报不良事件的数量能解释不良事件报告频率16.9%的变异（P＜0.05）。结论 患者安全文化影响医务人员报告不良事件，其中事件沟通反馈、效率和减少浪费是重要的影响因素。医院管理者应创新不良事件沟通反馈机制，鼓励医务人员参与事件分析管理并提供必要支持。
Abstract:
Objective To explore the key factors influencing medical staff to report adverse events in the context of patient safety culture in hospitals.Methods From January to February 2019, 595 medical staff from 2 tertiary hospitals in Sichuan Province were conveniently selected as the research subjects, and the patient safety culture questionnaire and the hospital value and efficiency questionnaire were used for investigation.Results The age of the 595 study subjects was mainly between 30 and 39 years old. There were more women than men.Undergraduate, married, nurse, formal establishment, junior professional title, internal medicine, working years, current hospital working years and current department working years are 1 to 5 years, direct contact with patients, working hours 40 to 59 h per week,the number of adverse events reported in one year was mostly zero.The minimum score for each dimension of patient safety culture was 1.000, and the maximum was 5.000. Among them, the staff configuration score was the lowest, and the teamwork in the same department had the highest score.All dimensions (except for staff allocation and non-punitive responses to errors) were all related to the frequency of incident reports (P<0.05).Multiple linear regression analysis showed that communication feedback on errors, efficiency and waste reduction, and the number of reported adverse events within a year can explain 16.9% of the variation in the frequency of adverse events reporting (P<0.05).Conclusion Patient safety culture affects medical staff reporting adverse events, and event communication feedback, efficiency and waste reduction are important influencing factors. Hospital managers should innovate the adverse event communication and feedback mechanism, encourage medical staff to participate in event analysis and management and provide necessary support.

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更新日期/Last Update: 1900-01-01