深圳市4所医院医务人员患者安全文化现状及影响因素分析

Current situation and influencing factors of patient safety culture among medical staffs in 4 hospitals of Shenzhen City

目的分析深圳市医院医务人员患者安全文化现况及影响因素,为医院患者安全文化改进提供参考依据,为其他医疗机构进行患者安全文化研究提供借鉴。方法 2016年2-5月,采用医疗机构患者安全文化问卷(PSCHO)对1 000名医务人员进行调查。结果医务人员患者安全文化总体得分为(3.53±0.40)分,不同类别医务人员之间的患者安全文化得分差异无统计学意义(P>0.05),不同工龄、与患者交流频率、培训次数、关注频率的医务人员患者安全文化差异有统计学意义(P<0.05)。结论深圳市患者安全文化水平较高,责罚感和羞愧感是阻碍医院提升患者安全文化的重要因素之一,医院应从组织、科室、个人层面出发,对影响医院患者安全文化的相关因素进行有针对性的改进。

Objective To analyze the status quo and influencing factors of patient safety culture among medical staffs in the hospitals of Shenzhen City to provided reference for its improvement and conduct the patient safety culture research by other medical institutions.Methods The Patient Safety Culture Questionnaire of Medical Institutions（PSCHO）was adopted to investigate on1000 medical persons from February to May 2016.Results The total score of patient safety culture in medical staffs was（3.53±0.40）and,the difference among different categories of medical persons had no statistical significance（P〈0.05）.The differences among the medical staffs with different working ages,communication frequency with patients,training times,concern frequency had statistical difference（P〈0.05）.Conclusion The patient safety culture level in Shenzhen City is higher.However,the sense of blame and shame is one of the important factors impeding the promotion of the patient safety culture in hospitnl.Hospital should conduct the targeted improvement to the related factors affecting the patient safety culture from the aspects of organism,department and individual level.