医院执业医师与管理人员患者安全文化比较分析.docVIP

医院执业医师与管理人员患者安全文化比较分析 　　[摘要] 目的 分析影响医院执业医师与管理人员对于医院患者安全文化态度与看法的因素，为医院管理者了解患者安全文化现状并制定改进措施提供依据。 方法 2016年2～6月采用医疗机构患者安全文化问卷（PSCHO）对深圳市4所三级公立医院共406名执业医师和110名管理人员进行调查。 结果 医院管理人员的总体问题应答率为15.76%，执业医师的总体问题应答率为20.68%，二者差异有统计学意义（P 0.05）。9个维度中，二者问题应答率最高均为不安全行为知觉维度，二者在组织资源、科室安全习惯、科室支持等维度里部分条目的问题应答率差异有统计学意义（P 0.05）。 结论 执业医师与管理人员之间的患者安全文化既有共性问题也有差异问题，专业背景、沟通成本、利益立场、人员配备是阻碍医院患者安全文化提升的四大因素。 　　[关键词] 患者安全文化；执业医师；管理人员；问题应答率 　　[中图分类号] R197 [文献标识码] A [文章编号] 1673-7210（2017）04（b）-0047-04 　　[Abstract] Objective To explore the effect factors of attitudes and perceptions toward patient safety climate from practicing physicians and administrators， in order to help hospital administrators understanding the present situation of patients safety climate and provide evidence for improvement measure. Methods During February to June 2016， patient safety climate in healthcare organization （PSCHO） survey was conducted to 406 practicing physicians and 110 administrators from 4 public hospitals in Shenzhen. Results The overall response rate in administrators （15.76%） and practicing physicians （20.68%） was significantly different （P 0.05）. Among 9 dimensions， perception of unsafe behavior had the highest response rate. The response rates of organizational resources， security habits of department and department support were significantly different between two groups （P 0.05）. Conclusion The patients safety climate are common but also different between practicing physicians and administrators. Professional background， communication costs， interests of position and staffing are four major obstructive factors on patient safety climate promotion. 　　[Key words] Patient safety climate； Practicing physicians； Administrators； Percent problematic response 　　近年?恚?患者安全文化在我国的关注度呈持续上升趋势[1]。医院患者安全文化调查问卷（hospital survey on patient safety culture，HSOPSC）、安全态度问卷（safety attitude questionnaire，SAQ）、医疗机构患者安全文化问卷（patient safety climate in healthcare organization，PSCHO）是美国测量患者安全文化最常用的三大工具[2]。国内的研究多采用SAQ、HSOPSC问卷[3]