某三级甲等医院患者安全及医疗质量改进现状调查问卷

A questionnaire on the current situation of patient safety and quality improvement in a tertiary hospital

目的调查某三甲医院内患者安全及医疗质量改进的现状以及医疗参与者和医学生对其的了解。方法采用电子问卷调查的方式,收集北京协和医院临床医师、护士、住院医师以及在临床见实习轮转的北京协和医学院医学生的有效问卷共526份。结果在过去一年中,分别有8.2%和58.8%的受访者曾亲历过医疗差错,和曾发现过安全隐患,有一半以上人所在的团队曾进行过不良事件上报,大多数人(75.3%)知道上报途径。多数人认为医院鼓励上报,但有超过一半人担心上报后个人会受到责怪和处罚。88.0%同意应设置相关课程。一部分人曾经在转运(42.6%)、交接班(15.4%)中有过可能影响患者安全的经历,而绝大多数人认同职业倦怠会影响患者安全。几乎所有人都表示如果发生医疗差错后自己的情绪和工作会受到负面影响,而44.5%表示差错曾经带来正面的影响。结论多数受访者对医院的患者安全及医疗质量改进举措相对满意,但担忧不良事件上报后个人所受到的负面影响。

Objective To investigate the current situation of improving patient safety and healthcare quality in a tertiary hospital and the understanding of healthcare providers and medical students.Methods A total of 526 valid questionnaires were collected from clinicians,nurses,residents from Peking Union Medical College Hospital(PUMCH)and medical students of Peking Union Medical College(PUMC).Results In the past year,there were 8.2%and 58.8%of the respondents who had experienced medical errors and found potential risks in the clinical process.More than half of respondent's team had reported adverse events,and most of them(75.3%)followed the right way to report.Most people believed hospital authority encouraged reporting medical adverse events,while some of them still worried about potential blame and punishment stemmed from reporting.The results also showed that 88.0%supported development of special curriculum in this field.Some of them had experiences that may have impacts on patient safety in transfer-ring(42.6%)and handover(15.4%),and the majority of people agreed that occupational burnouthas negative impact to patient safety.Almost all the investigation participnts-complained that their emotions and work would be negatively affected if there was a medical error,while 44.5%said that the error also had a positive impact.Conclusions Most of the respondents are relatively satisfied with the current measures of patient safety and quality improvement in PUMCH,but they are still worried about the negative impact on the individuals after the adverse events are reported.