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本文引用的文献

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Assessing and improving safety climate in a large cohort of intensive care units.评估和改善大型重症监护病房的安全氛围。
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2
Intensive care unit safety culture and outcomes: a US multicenter study.重症监护病房安全文化与结局：一项美国多中心研究。
Int J Qual Health Care. 2010 Jun;22(3):151-61. doi: 10.1093/intqhc/mzq017. Epub 2010 Apr 9.
3
Measuring and comparing safety climate in intensive care units.测量和比较重症监护病房的安全氛围。
Med Care. 2010 Mar;48(3):279-84. doi: 10.1097/MLR.0b013e3181c162d6.
4
Relationship of safety climate and safety performance in hospitals.医院安全氛围与安全绩效的关系。
Health Serv Res. 2009 Apr;44(2 Pt 1):399-421. doi: 10.1111/j.1475-6773.2008.00918.x. Epub 2008 Nov 4.
5
Perceptions of safety culture vary across the intensive care units of a single institution.在同一机构的重症监护病房中，对安全文化的认知存在差异。
Crit Care Med. 2007 Jan;35(1):165-76. doi: 10.1097/01.CCM.0000251505.76026.CF.
6
The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging research.安全态度问卷：心理测量特性、基准数据及新兴研究
BMC Health Serv Res. 2006 Apr 3;6:44. doi: 10.1186/1472-6963-6-44.
7
Discrepant attitudes about teamwork among critical care nurses and physicians.重症监护护士和医生对团队合作的态度存在差异。
Crit Care Med. 2003 Mar;31(3):956-9. doi: 10.1097/01.CCM.0000056183.89175.76.
8
Framework for analysing risk and safety in clinical medicine.临床医学风险与安全分析框架
BMJ. 1998 Apr 11;316(7138):1154-7. doi: 10.1136/bmj.316.7138.1154.

建立使用安全态度问卷来评估重症监护网络中的安全氛围。

Establishing the use of a safety attitudes questionnaire to assess the safety climate across a critical care network.

作者信息

Thomas Antony, Lomas John-Paul

机构信息

Department of Critical Care, Salford Royal NHS Foundation Trust, UK.

Department of Critical Care, Bolton NHS Foundation Trust, UK.

出版信息

J Intensive Care Soc. 2018 Aug;19(3):219-225. doi: 10.1177/1751143717750788. Epub 2018 Jan 15.

DOI:10.1177/1751143717750788
PMID:30159014
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6110033/
Abstract

AIMS

We aimed to measure the safety culture across a network of critical care units to compare units, track temporal changes and to present easy to interpret information back to staff.

METHODS

We provided adapted paper versions of the short ICU 'Safety attitude questionnaire' to 14 critical care units annually between 2015 and 2017. The responses were analysed to establish scores for individual safety domains. Feedback used colour conditional formatted tables to allow easy identification of high and low scores.

RESULTS

There was an inverse relation between median unit score and standardised mortality (r = 0.4). Rates of staff fatigue increased between 2016 and 2017 (two-point change on a 1-5 scale).

CONCLUSIONS

A critical care network can usefully collect and feedback safety attitude questionnaires which show a relationship with patient outcome. Units should monitor overtime working.

摘要

目的

我们旨在衡量重症监护病房网络中的安全文化，以比较各病房、追踪时间变化，并将易于解读的信息反馈给工作人员。

方法

在2015年至2017年期间，我们每年向14个重症监护病房提供经过改编的纸质版简短ICU“安全态度调查问卷”。对回复进行分析，以确定各个安全领域的得分。反馈使用颜色条件格式化表格，以便轻松识别高分和低分。

结果

各病房中位数得分与标准化死亡率之间存在负相关关系（r = 0.4）。2016年至2017年期间，工作人员疲劳率有所上升（在1至5分的量表上有两分的变化）。

结论

重症监护病房网络可以有效地收集和反馈安全态度调查问卷，这些问卷显示出与患者预后的关系。各病房应监测加班情况。