西安市3所三级甲等医院医护人员信息系统故障应对能力调查及影响因素分析

HIS failure response capacity of medical staffs in three tertiary hospitals in Xi＆#39;an and its influence factors

目的 了解西安市医护人员对医院信息系统故障应对能力,为医院开展针对性的教育和指导提供依据.方法 采用一般情况调查表、医院系统故障应对能力问卷,对西安市3所三甲医院的210名医护人员进行问卷调查.结果 医护人员医院系统故障相关知识掌握情况一般,总分及格率为62.9%.单因素分析显示,学历层次、有无医院系统故障经历以及是否受过相关教育方面及格率比较差异有统计学意义（χ2值分别为7.027,8.842,5.484;P〈0.05）.二元logistic回归分析表明,学历层次、工作年限以及信息系统故障经历和接受相关教育经历为影响医护人员院内应急事件处理能力的主要因素.结论 我国目前医院信息系统故障教育体系不够完善,医护人员信息系统故障应对知识和技能水平有待提高,医院可以开展多种形式的教育和培训,以提高医护人员处理医院信息系统故障的能力.

ObjectiveTo explore the hospital information system （HIS） failure response capacity of medical staffs in Xi＇an and provide evidences for hospitals to carry out individual education and guidance. MethodsSelf-designed general information and HIS failure response capacity questionnaires were used to investigate 210 medical staffs from three tertiary hospitals in Xi＇an.Results Knowledge level of HIS failure response in medical staffs was general and their pass rate of the test was 62.9%. Univariate analysis showed that there was significant difference in the pass rate of staffs with different education level,HIS failure experiences and HIS failure related education experience （χ2=7.027,8.842,5.484;P〈0.05）. Binary logistic regression analysis showed that education level,working experience,hospital information system failure experience and HIS failure related education experience were main influencing factors of HIS failure response capacity of medical staffs.Conclusions The current HIS failure education system is not perfect in our country and the hospital information system failure response knowledge and capacity of medical stuffs should be improved. Hospitals could carry out various forms of education and training to improve the HIS failure response capacity of medical staffs.