West China Hospital/ School of Medicine, Sichuan University, Chengdu 610041, China.
J Evid Based Med. 2012 Feb;5(1):6-11. doi: 10.1111/j.1756-5391.2012.01164.x.
To investigate the baseline status of patients' awareness, knowledge, and attitudes to patient safety in China, and to determine the factors that influence patients' involvement in patient safety.
We conducted a cross sectional survey using questionnaires adapted from recent studies on patient safety from outside China. The items included medical errors, infection, medication safety, and other aspects of patient safety. The questionnaire included 17 items and 5 domains. The survey was conducted between Jan. 2009 and Dec. 2010 involving 1000 patients from ten grade-A hospitals in seven provinces or cities in China. Most patients from the surgery departments completed the questionnaires voluntarily and anonymously. Five reviewers independently input the data into Microsoft Excel 2003, and the data were double-checked. Data were analyzed using SPSS 15.0 software for differences in the perceptions and attitudes of patients toward patient safety among different genders, ages, and regions.
We distributed 1000 questionnaires and collected 959 completed questionnaires (response rate: 96%). Among the respondents, 58% of patients did not know what medical error is. Sixty-five percent of patients wanted disclosure of all medical errors. After errors occurred, 58% of patients wanted explanations of all possible harms that had resulted. Among 187 patients who had experienced medical errors, 83% of patients had sought appropriate legal action. About 52% of patients understood hospital infection, but 28% patients did not know that infections could occur in hospital. Seventy-eight percent of patients thought that medical staff should wash their hands before examining patients. More than half of the patients (68%) were willing to remind the staff of hygiene if they saw unsanitary conditions in a health clinic. Only 14% of patients knew the side effects of medications that they took.
The majority of patients surveyed expressed willingness to contribute to patient safety, but their knowledge about patient safety practices was generally very limited.
调查中国患者对患者安全的认知、知识和态度的基线状况，并确定影响患者参与患者安全的因素。
我们采用问卷调查的方法，问卷改编自中国以外地区近期的患者安全研究。调查内容包括医疗差错、感染、用药安全和其他患者安全方面。问卷共 17 个条目，分为 5 个领域。调查于 2009 年 1 月至 2010 年 12 月在我国 7 个省市的 10 家三甲医院进行，调查对象为 1000 名患者。大多数手术科室的患者自愿、匿名填写问卷。5 位评审员独立将数据录入 Microsoft Excel 2003，然后进行双录入核对。采用 SPSS 15.0 软件进行数据分析，比较不同性别、年龄和地区的患者对患者安全的感知和态度。
共发放问卷 1000 份，回收有效问卷 959 份（应答率 96%）。在应答者中，58%的患者不知道什么是医疗差错，65%的患者希望了解所有的医疗差错，65%的患者希望在差错发生后了解所有可能的损害，187 名经历过医疗差错的患者中，83%的患者寻求了适当的法律行动。约 52%的患者了解医院感染，但 28%的患者不知道医院内会发生感染。78%的患者认为医护人员在检查患者前应洗手，超过一半（68%）的患者如果在诊所看到不卫生的情况，愿意提醒医护人员注意卫生。仅有 14%的患者知道自己所服药物的副作用。
大多数接受调查的患者表示愿意为患者安全做出贡献，但他们对患者安全实践的知识普遍非常有限。
