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妇幼保健机构患者安全文化的调查与评估 被引量:4
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作者 严晓玲 戴自奋 胡丹 《中国卫生质量管理》 2013年第6期75-78,共4页
目的了解妇幼保健机构患者安全文化现状,建立评估基线,为寻找薄弱环节,制定改善方案提供依据。方法使用美国医疗服务质量和研究组织通行的患者安全问卷调查法,计算正性回答率,获得患者安全文化基线。结果与美国同类医院比较,差错的反馈... 目的了解妇幼保健机构患者安全文化现状,建立评估基线,为寻找薄弱环节,制定改善方案提供依据。方法使用美国医疗服务质量和研究组织通行的患者安全问卷调查法,计算正性回答率,获得患者安全文化基线。结果与美国同类医院比较,差错的反馈和交流、医院内交接和转运等维度正性回答率较高;不良事件上报频率、人员配备、管理层支持、患者安全整体评估等维度较低,且差异有统计学意义,其中不良事件上报频率的差异最大。结论患者安全调查法是评估医院患者安全文化的有效工具之一。探索建立不良事件上报系统,可改进医院患者安全文化,进而确保患者安全。 展开更多
关键词 患者安全文化 不良事件上报 患者安全调查
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医院患者安全文化调查问卷中文版信效度检验 被引量:8
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作者 梁爽 刘华平 《中华现代护理杂志》 2014年第15期1774-1777,共4页
目的:测量中文版医院患者安全文化调查问卷( Hospital Survey on Patient Safety Culture , HSOPSC)在临床医务人员使用的信效度,并进一步验证其在我国文化文化背景下的适用性。方法采用便利抽样,从北京市4家三级综合医院抽取422... 目的:测量中文版医院患者安全文化调查问卷( Hospital Survey on Patient Safety Culture , HSOPSC)在临床医务人员使用的信效度,并进一步验证其在我国文化文化背景下的适用性。方法采用便利抽样,从北京市4家三级综合医院抽取422名临床医务工作者,通过问卷及各个维度的Cronbach ’ sα对问卷的内部一致性信度进行测评。间隔2周重新使用中文版HSOPSC对20名受试者进行测评,考察其重测信度。分别通过专家判断法和探索性因子分析对问卷的内容效度和结构效度进行测评。结果中文版HSOPSC总的Cronbach’sα系数为0.892,重测与首次测量总分的相关系数为0.854(P<0.001)。与原版问卷相比中文版HSOPSC减少了一个因子,经过探索性因子分析共提取出11个公因子,11个公因子的累计贡献率为63.167%。结论中文版HSOPSC具好非常好的信度和可接受的效度。可用于我国临床医务人员患者安全文化的测评。 展开更多
关键词 中文版医院患者安全文化调查问卷 信度 效度 临床医务人员
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Attitudes and actions of hospitalized patients on management of their safety:a cross-sectional study
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作者 Hui Liu Xu Tian +2 位作者 Jun Shen Lily Dong Xia Xiao 《TMR Integrative Nursing》 2017年第2期50-58,共9页
Background and aims: Patient plays an important role in preventing the adverse events (AEs) and harms occurredduring medical care; however, the incidence of AEs and harms can be effectively reduced if patients acti... Background and aims: Patient plays an important role in preventing the adverse events (AEs) and harms occurredduring medical care; however, the incidence of AEs and harms can be effectively reduced if patients actively andsuccessfully participate in their care. Organizations of safety management for patients and authorities of health systemagree that involve patients into the management on their care can obviously prevent medical error; whereas, the attitudesand actual actions of hospitalized patients for the view remain controversial. In this study, we aimed to explored patients’attitudes and actual actions participate in their own safety and whether patients with positive attitude are more likely totake action than others? Methods: In the present cross-sectional study, convenience sampling method was adopted torecruit a sample size consist of 2052 patients from two teaching hospitals affiliated to Medical College of ShantouUniversity located in Shantou China. We used a questionnaire consist of 7 items to investigate the attitudes and actualactions of hospitalized patients participating in their care. Then the actual actions between patients with positive andnegative attitudes were analyzed using descriptive analysis and independent t-test. Results: Most patients have a positiveattitude on engaging in their safety management activity. Although most patients have positive attitude, fewer can takeactual actions. Patients with positive attitude are more likely to take actions, but there are not statistical significantdifference for positive and negative attitudes patients in terms of some items, such as “Ask doctor or nurse to wash theirhands” and “Ask nurse or doctor to confirm your identity”, etc. Conclusions: Positive attitude is an important factor thatimproves the rate of participating in the medical care activity for patients. Based on the results of current study,interventions that improve the attitude of patient are needed to improve patients’ attitude and what is more important ishow to convert attitude into actual action. When making plan of interventions, cultural background of patients need to betaken into account. 展开更多
关键词 Patient safety Patient Participation Cross-sectional Study INVESTIGATION
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