病人安全文化調查初報－以某醫學中心為例

The Preliminary Investigation of Patient Safety Culture-Survey from a Medical Center

鄭嘉惠(Chia-Hui Cheng) ； 張嘉晃(Chia-Huang Chang) ； 王拔群(Pa-Chun Wang)

《輔仁醫學期刊》 6卷1期 (2008/03) Pp. 19-30

摘要

Objectives: Using structured questionnaire, the objectives of this study are to investigate the patient safety attitude among hospital employees and to explore the factors that may have influence on their patient safety attitude. Methods: The Safety Attitudes Questionnaire (SAQ) was used in this cross-sectional survey study to assess 6 dimensions of patient safety attitude from hospital employees, including: teamwork climate, safety climate, stress recognition, perception of management, working condition, and job satisfaction. Dimension scores were compared between age, gender, work unit, job type, and career experience groups using t-test and ANOVA. Spearman correlation coefficient and multivariate regression models are used to investigate the factors that may affect the patient safety attitude. Results: Therewere 755 participants, the response rate was 79.6%. The cronbach's alpha in each SAQ version ranged from 0.25 to 0.90. Participants had the highest score in teamwork climate dimension (73.8±14.2). Male with managerial job, and staffs aged more than 40 years-old had higher score in all dimensions. The multivariate regression models showed work unit and job type are factors that have significant impacts on patient safety attitude (p＜0.05). Conclusions: The preliminary SAQ survey data provide baseline patient safety attitude information of our institute. The data can be used to investigate the association between culture promotion and patient safety improvement.

關鍵字

病人安全 ； 安全態度量表

並列摘要

Objectives: Using structured questionnaire, the objectives of this study are to investigate the patient safety attitude among hospital employees and to explore the factors that may have influence on their patient safety attitude. Methods: The Safety Attitudes Questionnaire (SAQ) was used in this cross-sectional survey study to assess 6 dimensions of patient safety attitude from hospital employees, including: teamwork climate, safety climate, stress recognition, perception of management, working condition, and job satisfaction. Dimension scores were compared between age, gender, work unit, job type, and career experience groups using t-test and ANOVA. Spearman correlation coefficient and multivariate regression models are used to investigate the factors that may affect the patient safety attitude. Results: Therewere 755 participants, the response rate was 79.6%. The cronbach's alpha in each SAQ version ranged from 0.25 to 0.90. Participants had the highest score in teamwork climate dimension (73.8±14.2). Male with managerial job, and staffs aged more than 40 years-old had higher score in all dimensions. The multivariate regression models showed work unit and job type are factors that have significant impacts on patient safety attitude (p＜0.05). Conclusions: The preliminary SAQ survey data provide baseline patient safety attitude information of our institute. The data can be used to investigate the association between culture promotion and patient safety improvement.

並列關鍵字

patient safety ； Safety Attitude Questionnaire SAQ