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患者安全:医生的知识、影响因素及态度:一项探索性研究

Patient safety: knowledge, influence and attitude among physicians: an exploratory study.

作者信息

Asem Noha, Sabry Hend Aly, Elfar Eman

机构信息

Public Health and Community Medicine Department, Faculty of Medicine, Cairo University, Kasr Al Ainy St, Cairo, 11956, Egypt.

出版信息

J Egypt Public Health Assoc. 2019 Sep 4;94(1):22. doi: 10.1186/s42506-019-0022-9.

Abstract

BACKGROUND

Patient safety is regarded as a global problem by which both developed and developing worlds are affected. It is defined as avoidance and prevention of patient injuries or adverse events, which could result during health care delivery. This study aimed to identify physicians' knowledge, influence, and attitude toward patient's safety in the faculty of medicine, Cairo university.

MATERIALS AND METHODS

A cross-sectional study was conducted on 187 postgraduate physicians of different specialties working in the faculty of medicine, Cairo University. Anonymous self-administered questionnaires were distributed. The questionnaire is one of a series of tools designed for evaluation of the pilot implementation of the World Health Organization patient safety curriculum for medical schools.

RESULTS

Calculated attitude score was relatively higher than influence, then knowledge score (median scores were 4.25, 3.1, and 2.5 respectively). There was no difference in knowledge, attitude, and influence scores by different personal characteristics as gender, specialty, workplace, graduation year except for higher influence score among physician who received inpatient safety training (p = 0.016). There was a weak positive significant correlation between knowledge and influence scores and between influence and attitude scores (r = 0.25, p = 0.002; r = 0.27, p < 0.001 respectively).

CONCLUSION

Higher patient safety positive attitude than influence and knowledge is pinpointed in physicians of different specialties in the faculty of medicine, Cairo University. This raises the attention to the importance of implementation of continuing patient safety education programs.

摘要

背景

患者安全被视为一个全球问题,发达国家和发展中国家均受其影响。它被定义为避免和预防在医疗服务过程中可能发生的患者伤害或不良事件。本研究旨在确定开罗大学医学院医生对患者安全的知识、影响因素和态度。

材料与方法

对开罗大学医学院187名不同专业的研究生医生进行了横断面研究。发放了匿名自填式问卷。该问卷是为评估世界卫生组织医学院校患者安全课程试点实施情况而设计的一系列工具之一。

结果

计算得出的态度得分相对高于影响因素得分,然后是知识得分(中位数分别为4.25、3.1和2.5)。除接受住院患者安全培训的医生影响因素得分较高外(p = 0.016),不同个人特征(如性别、专业、工作场所、毕业年份)的知识、态度和影响因素得分无差异。知识得分与影响因素得分之间以及影响因素得分与态度得分之间存在微弱的正相关(r = 0.25,p = 0.002;r = 0.27,p < 0.001)。

结论

开罗大学医学院不同专业的医生对患者安全的积极态度高于影响因素和知识水平。这引起了人们对实施持续患者安全教育计划重要性的关注。

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