陕西省6所三级医院患者安全文化现状及影响因素研究

目的了解陕西省三级医院患者安全文化现状，分析影响因素，为推动医院文化建设、实现医院安全管理提供参考。方法于2018年7月-9月向陕西省6所三级医院的医务人员发放问卷进行横断面调查，运用SPSS 22.0软件对所获数据进行统计分析。结果调查医务人员共计1 065名。患者安全文化总体评分为（3.74±0.41）分，83.00%的医务人员认为患者安全等级“非常好”或“很好”。患者安全等级的影响因素有性别、最高学历、用工形式、参与6S培训（P＜0.05）。对错误的反馈与交流、医院交接班与转科程序、医院管理支持、对患者安全的全面理解和医院各部门之间的协作等维度与患者安全等级呈正相关（P＜0.05）。结论参与调查的医院患者安全文化总体水平中等偏上。医院应积极使用质量管理工具，针对不同人员采用个性化措施，加大管理支持力度，重视差错事件的持续改进，以不断提升患者安全管理水平。

Status and Influencing Factors of Patient Safety Culture in Six Tertiary Hospitals in Shaanxi Province

ObjectiveTo investigate the status of patient safety culture in tertiary hospitals in Shaanxi province, and analyze the influencing factors, so as to provide reference for promoting the construction of hospital culture and realizing hospital safety management.MethodsFrom July to September 2018, a cross-section survey was conducted among medical staff in six tertiary hospitals in Shaanxi. The SPSS 22.0 software was used for statistical analysis.ResultsA total of 1 065 medical personnel were surveyed. The overall patient safety culture score was (3.74±0.41), and 83.00% of the medical staff thought the patient safety grade was "very good" or "good". The influencing factors of patient safety grade were gender, highest education, employment form, participation of 6S training (P<0.05). Feedback and communication of errors, shift and department transfer procedures, hospital management support, comprehensive understanding of patient safety and collaboration among different departments of the hospital were positively correlated with the patient safety grade (P<0.05).Conclusion The overall level of safety culture of patients in the surveyed hospitals was above average. Hospitals should actively use quality management tools, adopt personalized measures for different personnel, increase management support, pay attention to continuous improvement of error events, so as to continuously improve the level of patient safety management.