长治市医护人员医疗安全不良事件报告意愿现状调查及影响因素分析

Willingness of medical staff to report adverse medical safety events and its influencing factors in Changzhi City

目的 探讨长治市医护人员医疗安全不良事件(以下简称不良事件)报告意愿现状及影响因素。方法 于2023年6—9月纳入长治市辖区内4家医院的医护人员作为调查对象。采用自制调查问卷收集医护人员的一般资料、不良事件报告意愿及影响因素,采用单因素分析和多重线性回归方法分析医护人员不良事件报告意愿的影响因素。结果 本研究共对1 124名医护人员进行调查,不良事件报告意愿评分为(54.88±8.17)分;多重线性回归分析结果显示,三级医院(β′=0.086)、年龄(β′=0.226)、职称(中级β′=0.199,高级β′=0.228)、工作年限(β′=0.103)、不怕受到批评处罚(β′=0.059)、认为影响不大且可以补救(β′=-0.080)、医院对不良事件的范围定义明确(β′=0.077)、医院对不良事件的报告程序明确(β′=0.075)、报告后会有反馈和改进措施(β′=0.069)、不良事件报告宣传培训到位(β′=0.080)是医护人员不良事件报告意愿的影响因素(P<0.05或P<0.01)。结论 长治市医护人员不良事件报告意愿较低,受医院等级、年龄、职称、工作年限、个人及管理机制等多种因素影响。可从完善管理机制、提高医护人员对不良事件报告的认知水平、营造良好的安全管理文化氛围等方面采取针对性措施进一步提高医护人员不良事件的报告意愿。

Objective To explore the current situation and influencing factors of medical staff′s willingness to report adverse medical safety events(hereinafter referred to as adverse events) in Changzhi City.Methods From June to September 2023,medical staff in 4 hospitals under the jurisdiction of Changzhi City were included as investigation objects.General data,willingness to report adverse events and influencing factors of medical staff were collected by self-made questionnaire,and the influencing factors of willingness to report adverse events were analyzed by univariate analysis and multiple linear regression method.Results A total of 1 124 medical staff were investigated in this study,and the score of willingness to report adverse events was(54.88±8.17).Multiple linear regression analysis showed that tertiary hospitals(β' =0.086),age(β'=0.226),professional title(medium-grade β'=0.199,senior β'=0.228),working years(β'=0.103),were not afraid of criticism and punishment(β'=0.059),believed that the impact was small and could be remedied(β'=-0.080),the hospital had a clear definition of the scope of adverse events(β'=0.077),the hospital had a clear reporting procedure for adverse events(β'=0.075),there would be feedback and improvement measures after reporting(β'=0.069),and the effective publicity and training of adverse event reporting(β'=0.080) were the influencing factors of medical staff′s willingness to report adverse events(P<0.05 or P<0.01).Conclusions The willingness of medical staff to report adverse events in Changzhi City is low,which is affected by many factors,such as hospital grade,age,professional title,working years,personal cognition,and management mechanism.Targeted measures can be taken to further improve the medical staff′s willingness to report adverse events from the aspects of improving the management mechanism,improving the medical staff′s cognitive level of adverse event reporting,and creating a good cultural atmosphere of safety management.