东北地区二级医院患者安全文化的横断面调查。
A cross-sectional survey on patient safety culture in secondary hospitals of Northeast China.
机构信息
Department of Health Policy and Hospital Management, School of Public Health, Harbin Medical University, Nangang District, Harbin, China.
Head and Neck Surgery, Department of Otorhinolaryngology, The Second Affiliated Hospital of Harbin Medical University, Harbin, China.
出版信息
PLoS One. 2019 Mar 20;14(3):e0213055. doi: 10.1371/journal.pone.0213055. eCollection 2019.
OBJECTIVES
This study aims to investigate patient safety culture in secondary hospitals of Heilongjiang, Northeast China, and explore the implications of patient safety culture and practices through the perspectives of various healthcare workers.
METHODS
A cross-sectional survey using the Safety Attitude Questionnaire (SAQ) was conducted to ascertain the status of patient safety culture in nine secondary hospitals across the six dimensions of the SAQ. Among the 900 staff members who were invited to participate, 665 completed the questionnaire. Descriptive statistics were used to calculate the general means and standard deviations of the patient safety culture dimensions and other numerical variables, and F-test and a multivariate regression analysis were used to statistically analyze the differences in perceptions of safety culture considering the differences in demographic characteristics. All statistical analyses were performed using SPSS v. 22.0.
RESULTS
The respondents rated job satisfaction as the highest among all six dimensions of the SAQ, followed in order by teamwork climate, working conditions, and stress recognition (the lowest). There were significant differences among the dimensions of patient safety culture and other factors, such as gender, age, job position, and education. Compared with previous studies, teamwork climate and working conditions scores were quite high, while stress recognition score was very low. We also found differences in patient safety culture by demographic characteristics.
CONCLUSIONS
The findings revealed the patient safety culture attitudes of healthcare workers in secondary hospitals of Heilongjiang, and provided baseline data for related future research. This evidence may also help government health policymakers and hospital administrators understand related challenges and develop strategies to improve patient safety culture in secondary hospitals of China and perhaps also in other developing countries.
目的
本研究旨在调查中国东北地区黑龙江省二级医院的患者安全文化，并从各类医护人员的角度探讨患者安全文化和实践的意义。
方法
采用横断面调查方法，使用安全态度问卷（SAQ），调查了 9 家二级医院的 6 个 SAQ 维度的患者安全文化状况。在邀请的 900 名员工中，有 665 人完成了问卷。采用描述性统计方法计算患者安全文化维度和其他数值变量的总平均值和标准差，并使用 F 检验和多元回归分析统计分析考虑到人口统计学特征差异对安全文化认知的差异。所有统计分析均使用 SPSS v. 22.0 进行。
结果
受访者对 SAQ 的所有 6 个维度的工作满意度评价最高，其次是团队合作氛围、工作条件和压力识别（最低）。患者安全文化的各个维度与其他因素（如性别、年龄、工作岗位和教育程度）之间存在显著差异。与以往研究相比，团队合作氛围和工作条件的得分相当高，而压力识别的得分则非常低。我们还发现，患者安全文化因人口统计学特征而异。
结论
研究结果揭示了黑龙江省二级医院医护人员的患者安全文化态度，并为相关未来研究提供了基线数据。这些证据也可能有助于政府卫生政策制定者和医院管理者了解相关挑战，并制定策略，以提高中国乃至其他发展中国家二级医院的患者安全文化。
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