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輔仁醫學期刊

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篇名 病人安全文化調查初報--以某醫學中心為例
卷期 6:1
並列篇名 The Preliminary Investigation of Patient Safety Culture--Survey from a Medical Center
作者 鄭嘉惠張嘉晃王拔群
頁次 19-30
關鍵字 病人安全安全態度量表Patient safetySafety attitude questionnaireSAQ
出刊日期 200803

中文摘要

背景和目的:藉由問卷測量,瞭解醫院工作人員對病人安全的態度,並進一步探討影響病安態度相關因子。方法:本橫斷性問卷調查研究採用安全態度量表 (Safety Attitudes Questionnaire, SAQ),評量某醫學中心醫療及行政人員的病安態度。SAQ 量表涵蓋六個構面,包括:「單位安全的風氣」、「團隊合作」、「對壓力的認知」、「對管理的感受」、「工作狀況」、及「對工作的滿意」,研究比較工作人員在不同單位或不同人口學特徵的構面分數;並使用斯皮曼相關係數與複回歸分析,研究構面分數的影響因子。結果:共有755 位受訪者,問卷回收率為79.6%,SAQ 問卷內部一致性Cronbach's alpha 為0.25-0.90 。參與者在回答「團隊合作」上得到最高的分數(73.8±14.2)。男性、擔任主管、年齡大於40 歲者在六個構面均得到較高的分數。複回歸模式顯示,工作單位及工作類別分別對「工作狀況」及「對工作的滿意」有顯著的影響(p < 0.05) 。結論:應用SAQ 問卷進行病人安全文化調查,可瞭解醫院工作人員對安全文化的認知,並在未來縱貫追蹤文化提昇與病人安全促進的連動性。

英文摘要

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: There were 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.

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