患者安全文化现状评价在专科医院应用及影响因素分析.docVIP

患者安全文化现状评价在专科医院应用及影响因素分析 　　[摘要] 目的 应用HSOPS问卷对医院当前患者安全文化的现状进行调查，并进行影响因素分析，为医院科学管理提供参考。 方法 采取分层抽样方法，应用HSOPS量表从中国医学科学院血液病医院的临床、医技和管理科室抽取符合纳入标准的医务人员进行问卷调查。 结果 本次调查共抽取医院10%的在职职工共221人，调查问卷信度和效度良好。得分与美国（AHRQ）调查结果进行比较，较好的维度有部门内部合作、过渡与衔接、患者安全的管理支持和部门间合作4个维度；劣势维度有事件报告上报频率、员工情况和对于过失的非惩罚性的反应。单因素分析发现，学历越高，事件报告上报频率越低（P 0.05）；医生岗位员工情况维度得分低于其他岗位（P 0.05）；每周工作小时数与员工情况维度得分存在相关性，员工工作时间越长，员工情况维度得分越低（rs=-0.220，P 0.05）。 结论 HSOPS问卷可以为医院的患者安全文化工作的建设情况提出量化的指标和维度，帮助医院发现优势区域以及需要改进的劣势维度。 　　[关键词] 医院患者安全文化；专科医院；影响因素 　　[中图分类号] R197.3 [文献标识码] A [文章编号] 1673-7210（2017）05（b）-0044-04 　　[Abstract] Objective To investigate current situation of patient safety culture in hospital by HSOPS questionnaire， and analyze relevant influence factors， in order to provide reference for the scientific hospital administration. Methods Stratified sampling was used. Staffs from clinical department， medical technology department， and administrative department in Institute of Hematology Blood Diseases Hospital， Chinese Academy of Medical Sciences who were eligible for the inclusive criteria were selected for HSOPS investigation. Results A total of 221 staffs accounted for 10% of the total number of the whole staffs in hospital were included in the survey. The reliability and validity of questionnaires were good. Compared with the result of the United States （AHRQ） survey results， better dimensions were teamwork within the units， transition and connection， administrative support for patient safety and cooperation between different departments； however， frequency of events reporting， situation of the working staffs and reactions towards non-punishment negligence were three poor dimensions. Single factor analysis found that the higher education background， the lower frequency of events reporting， with statistically significant differences （P 0.05）. There were statistically significant differences in situation of the working staffs between doctors and staffs from other positions （P 0.05）. It is indicated that hours