病人安全文化調查與對提高醫療安全的應用

The Applications of Safety Culture Surveys on Patient Safety Improvement

李偉強(Wei-Chiang Lee)

《重症醫學雜誌》 8卷4期 (2007/12) Pp. 175-183

https://doi.org/10.30035/TCCM.200712.0004

摘要

營造醫療機構內重視病人安全的文化是國內外努力的重點，愈來愈多的研究發現醫療人員對安全的態度與單位的安全文化與異常事件及病人安全明顯相關，在急重症單位尤其明顯。因此，2007年之後世界衛生組織與美國的醫院評鑑機構都已經將定期病人安全文化評量做爲醫院評鑑的標準之一。目前國外已經有數種常用的病人安全文化評量表，其中有幾種已經有中文版本，並且陸續進行醫院閒及醫院內不同單位的安全文化評量與檢討，希望能以單位人員對於病人安全的態度做爲病安努力的成效指標與機構病人安全的領先指標，並且做爲擬定病人安全政策的參考。

關鍵字

病人安全 ； 文化 ； 問卷調查 ； 醫療機構

並列摘要

Safety culture is increasingly recognized as an important strategy to improving the widespread deficits in patient safety. Accumulating studies have demonstrated the association between organizational safety culture and the occurrence of adverse events in health care organizations, especially for those providing intensive services. As a result, safety culture has been considered an alternative safety performance indicator. The Joint Commission for Accreditation of Healthcare Organizations in the United States as well as the World Health Organization include an annual assessment of safety culture in its 2007 patient safety goals. A range of different instruments are used for measuring organizational safety culture in the world and Chinese versions are available for some of them. Several large-scale safety attitude surveys are processing as a reference of the patient safety policy in Taiwan.

並列關鍵字

Patient safety ； Safety culture ； Safety climate ； Safety attitudes ； Questionnaire survey