Investigation on patient safety culture in standardized training for resident doctors

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Investigation on patient safety culture in standardized training for resident doctors

更新时间：2024-09-19

- Investigation on patient safety culture in standardized training for resident doctors
- Vol. 17, Issue 11, (2018)
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Investigation on patient safety culture in standardized training for resident doctors. [J]. 17(11).(2018)
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Investigation on patient safety culture in standardized training for resident doctors. [J]. 17(11).(2018) DOI：

摘要

目的　了解某校附属医院住院医师规范化培训学员在患者安全文化方面的认知现状，分析该校附属医院在住培学员患者安全文化方面的宣传教育效果并提出改进措施。方法　2016年5至10月期间，选取某校A和B两家附属医院2014至2016级913名住培学员，采用问卷调查的方法对他们的患者安全文化认知现状进行调查，并通过专家访谈提出影响住培学员患者安全文化认知的主要因素。使用SPSS 17.0软件行卡方检验。结果　调查住培学员913人，收回有效问卷800份，问卷回收率为87.62%。患者安全制度方面涉及的医院安全目标、安全反馈渠道和不良事件预警机制三个因素，A医院的认知程度（68.96%、62.52%、62.81%）均高于B医院（52.99%、46.16%、47.01%），差异具有统计学意义（P <0.05）；A医院在入院岗前培训、科室宣传教育、带教老师鼓励三个层面的宣传度（82.13%、84.48%、78.33%）优于B医院（68.38%、71.8%、62.39%），差异具有统计学意义（P<0.05）；A医院不同类别的不良事件上报率均高于B医院，差异具有统计学意义（P<0.05）。结论　住培学员的患者安全文化宣传教育还需要进一步加强，通过形成良好的医院安全文化氛围，建立标准化的入院教育和培训制度，提高带教老师的带教能力和强化住培学员临床技能训练等方式；全面提升住培学员的患者安全文化认知水平，减少医疗差错事故发生

Abstract

Objective　To investigate the cognition on patient safety culture of resident doctors re-ceiving standardized training in two affiliated hospitals

analyze the effectiveness of publicity and education in patient safety culture and put forward suggestions for improvements. Methods　A total of 913 resident doctors receiving standardized training in the two affiliated hospitals during 2014 to 2016 were enrolled. Their cognition on patient safety culture were investigated using questionnaire surveys from May to October in 2016

and the main factors influencing the cognition on patient safety culture in standardized training were put forward through expert interviews. All statistical analyses were performed with SPSS 17.0 software with Chi-square test. Results　The response rate of the questionnaire was 87.62% (800/913). Three factors were involved in the patient safety system

including the hospital security objectives

security feedback channels

and adverse event warning mechanism. The cognitiive level of A hospital (68.96%

62.52%

62.81%) was higher than that of B hospital (52.99%

46.16%

47.01%)

and the difference was statistically significant (P<0.05). The publicity of pre-service training

education in the department

and encouragement from teachers (82.13%

84.48%

78.33%) was better in A hospital than in B hospital (68.38%

71.8%

62.39%) (P<0.05). The reporting rate of adverse events in A hospital was higher than that in B hospital (P <0.05). Conclusion　It is necessary for hospitals to further intensify the publicity and education on patient safety culture. We can improve students' cognition on patient safety culture to reduce medical errors by cre-ating a favorable atmosphere

establishing standardized admission education and training system

improving teachers' teaching ability

and strengthening the training for clinical skills.

关键词

患者安全文化　住院医师　规范化培训　研究生

Keywords

Patient safety culture　Resident　Standardized training　Postgraduate students

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