醫療專業人員對醫療異常事件通報系統之認知及態度與其相關因素分析

葉媞媞

doi:10.6342/NTU.2005.01247

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醫療專業人員對醫療異常事件通報系統之認知及態度與其相關因素分析

Knowledge and Attitude of Medical Professional Staff toward Medical Incident Reporting System and Their Associated Factors

葉媞媞 , Masters　　Advisor：楊銘欽　　

繁體中文 DOI： 10.6342/NTU.2005.01247

醫療錯誤；通報系統；安全管理；品質確保； Medical Errors ； Reporting System ； Safety Management ； Quality Assurance

Abstract │ Reference (40) │ Times Cited (7) │ Altmetrics

Abstract 〈TOP〉

Parallel Abstract 〈TOP〉

This research aims to examine the knowledge and attitude of medical professionals toward medical incident reporting system and their associated factors. All the medical professionals of a medical center located in northern Taiwan were issued a structured questionnaire. The research collected 899 valid questionnaires, and the response rate is 29.7%. Significant results are as follow:
Medical professionals hold positive attitude toward in-house reporting system. Among the respondents, 85.9% were aware of in-house reporting system, especially nursing staff with over ten years of working experience. In addition, reporting rate became higher as damage level rose. With regard to factors influencing medical professionals’ knowledge toward in-house reporting system, those who “were in the departments other than internal or surgery”,” dealt with incident this year”, and “agreed with the description of the safety of their working units” have positive association. As for the attitude toward reporting system, respondents who “had master or PhD degree”, “were in the departments other than internal or surgery” were less willing to report. Moreover, respondents who “dealt with incident this year”, and “agreed with the description of the safety of their working units” were more willing to report to the national reporting system.
According to these results, this study provides following suggestions: First, health authority can strengthen the knowledge of medical professionals toward reporting system. The National reporting system should be executed by the third party and the government should set up an efficient monitoring system. Besides, legislative yuan can enact bills to protect the confidentiality of person who file reports. Second, hospital management department should provide appropriate reporting environment to medical professionals, and encourage them to give opinions to incidents. Third, future researcher may modify the sequence of conditional questions; combine in-depth interview to understand the relation between safety culture and the knowledge and attitude of medical professionals.

Reference ( 40 ) 〈TOP〉

1. Wu AW: Medical error: the second victim. British Medical Journal 2000;320:726-7.
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2. Andrus CH, Villasenor EG, Kettelle JB, et al: Journal of the American College of Surgeons 2003;196,6:911-8.
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3. Barach P, Small SD: reporting and preventing medical mishaps: lessons from non-medical near miss reporting systems. British Medical Journal 2000;320:759-63.
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4. Forster AJ, Murff HJ, Peterson JF, et al: The Incidence and Severity of Adverse Events Affecting Patients after Discharge from the Hospital. Annals of internal medicine 2003; 138:161-7.
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5. Furukawa H, Bunko H, Tsuchiya F, et al: Voluntary Medication Error Reporting Program in a Japanese National University Hospital. The Annals of Pharmacotherapy 2003;37:1716-22.
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Times Cited (7) 〈TOP〉

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