Rasmussen Kurt, Pedersen Anna Helene Meldgaard, Pape Louise, Mikkelsen Kim Lyngby, Madsen Marlene Dyrløv, Nielsen Kent Jacob
Arbejdsmedicinsk Klinik, Hospitals-enheden Vest, Regionshospitalet Herning, Gl. Landevej 61, 7400 Herning, -Denmark.
Dan Med J. 2014 May;61(5):A4812.
The psychosocial work environment has been recognised as a factor that contributes to the occurrence of errors and adverse events at hospitals. There has been a strong focus on stress factors at intensive care units and emergency departments. The purpose of this study was to investigate the occurrence of adverse events and to examine the relationship between work-related stressors, safety culture and adverse events at an emergency department.
A total of 98 nurses and 26 doctors working in an emergency department at a Danish regional hospital filled out a questionnaire on the occurrence and pattern of adverse events, psychosocial work environment factors, safety climate and learning culture.
The participants had experienced 742 adverse events during the previous month. The most frequent event types were lack of documents, referrals not performed, blood tests not available and lack of documentation. Problems related to reporting and learning and insufficient follow-up and feedback after serious events were the most frequent complaints. A poor patient safety climate and increased cognitive demands were significantly correlated to adverse events.
This study supports previous findings of severe underreporting to the mandatory national reporting system. The issue of reporting bias related to self-reported data should be born in mind. Among work environment issues, the patient safety climate and stress factors related to cognitive demands had the highest impact on the occurrence of adverse events.
The project was funded by Trygfonden (grant no 7-10-0949).
not relevant.
社会心理工作环境已被公认为是导致医院发生差错和不良事件的一个因素。重症监护病房和急诊科的压力因素一直备受关注。本研究的目的是调查不良事件的发生情况，并探讨急诊科与工作相关的压力源、安全文化和不良事件之间的关系。
丹麦一家地区医院急诊科的98名护士和26名医生填写了一份关于不良事件的发生情况和模式、社会心理工作环境因素、安全氛围和学习文化的问卷。
参与者在上个月共经历了742起不良事件。最常见的事件类型是文件缺失、未进行转诊、无法进行血液检查和记录缺失。与报告和学习相关的问题以及严重事件后随访和反馈不足是最常见的抱怨。不良的患者安全氛围和认知需求增加与不良事件显著相关。
本研究支持先前关于向国家强制报告系统严重漏报的研究结果。应牢记与自我报告数据相关的报告偏差问题。在工作环境问题中，患者安全氛围和与认知需求相关的压力因素对不良事件的发生影响最大。
该项目由Trygfonden（资助编号7 - 10 - 0949）资助。
不相关。
