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題名 | 藥劑部門病人安全文化調查分析=Investigation and Analysis on Patient Safety Culture in Pharmacy Department |
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作者 | 張雅惠; 王森洤; 李韋瑩; 李君儀; | 書刊名 | 藥學雜誌 |
卷期 | 32:4=129 2016.12[民105.12] |
頁次 | 頁13-19 |
分類號 | 419.39 |
關鍵詞 | 病人安全; 安全文化; 安全文化量表; 藥劑部門; |
語文 | 中文(Chinese) |
中文摘要 | 背景:藥師在病人用藥安全中扮演了相當重要的角色,本研究希望經由病人安全 文化調查,了解醫療體系下四院區藥劑部門同仁,對病人安全文化認知現況,並進一 步探討影響因子,以作為病安改善的方向。 研究方法:本研究使用醫策會全國醫療院所病人安全文化調查的中文版問卷進行 測量,問卷共有41題。施測期間為2013年9月13日至27日,分析不同院區同仁或不同 個人特質對安全態度的差異性;研究以 SPSS (20.0版) 作信度分析、描述性統計、獨 立樣本t檢定及變異數分析。 結果:各院區藥劑部門共發出231份問卷,有效問卷共回收168份,有效問卷回收 率為73 %。六構面的 Cronbach’s α值介於0.731-0.895間,皆達 > 0.7之高信度水準, 顯示問卷各題項及構面填答具足夠之一致性。在正向回答分數,對「壓力感受」構面 認知最高 (82.44 ± 18.24),而「管理感受認知」構面最低 (57.92 ± 19.62)。分析個人 特質與病人安全文化之關係顯示,工作年資、職務及院區的不同對構面得分有影響。 進一步分析影響因子以非主管職、工作年資 > 10年及年齡31-40歲,是影響病人安全 態度的負面因素,具明顯的差別 (p < 0.05)。在各構面相關性分析,除壓力感受構面 外,其餘五構面彼此兩兩間呈高度正向而顯著之關係。 結論:應用安全文化量表進行病人安全文化調查,可瞭解醫院藥師對安全文化的 認知與差異。針對問題點介入改善措施,並探討評估執行成效。 |
英文摘要 | Background:Pharmacists play a critical role in patient safety. Therefore, this study aims to understand the perception of pharmacy department personnel on patient safety culture at four hospitals. We conducted a survey on patient safety culture to investigate factors that affect patient safety and to provide recommendations for improving patient safety. Methods of Study:This study was conducted using the Chinese version of the Hospital Patient Safety Culture Survey and was carried out by the Joint Commission of Taiwan. The survey had 41 questions and was administered to pharmacy department personnel during the period of September 13 to September 27, 2013. The differences in perceptions of patient safety culture reported by pharmacy department personnel of different hospitals were evaluated. Results:The results of the study showed that personality type, length of service,seniority, and hospital location were associated with various dimensions of patient safety culture. Further analysis revealed that factors significantly associated with negative perceptions of patient safety culture included working in a non-supervisory position, a length of service exceeding 10 years, and age between 31 and 40 years (p < 0.05). Conclusions:Conducting a patient safety culture survey among pharmacy department personnel allowed us to understand perceptions of patient safety culture and factors responsible for the differences in perception. It also allows for implementing improved intervention strategies that focus on addressing negative perceptions of patient safety culture, and provides a baseline to evaluate their effectiveness. |
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