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首页> 外文期刊>BMC Health Services Research >Patient safety culture in Peking University Cancer Hospital in China: baseline assessment and comparative analysis for quality improvement
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Patient safety culture in Peking University Cancer Hospital in China: baseline assessment and comparative analysis for quality improvement

机译：中国北京大学患者安全文化在中国：基线评估与质量改进的比较分析

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BACKGROUND:Limited information is available regarding the patient safety culture in Chinese hospitals. This study aims to assess the patient safety culture in Peking University Cancer Hospital and to identify opportunities for improving the organization's safety culture.METHODS:A cross-sectional study was conducted in April 2018 and 2019, respectively. Data on patient safety culture were collected from clinical and administrative staffs using the Hospital Survey on Patient Safety Culture (HSOPSC).RESULTS:Twelve composite dimension variables were hierarchically clustered. Three highest positive response dimensions include 'Organizational Learning and continuous improvement' (92.9%), 'Teamwork within units' (89.7%), and 'Hospital management support for patient safety' (83.7%), while 3 lowest positive response dimensions included 'Frequency of events reported' (43.9%), 'Non-punitive response to error' (51.1%), 'Communication openness' (52.2%), and 'Staffing' (53.7%). Compared to the average scores of the United States, the scores of the Peking University Cancer Hospital was significantly lower on 'Communication openness' and 'Frequency of events reported'. After targeted continuous improvement based on results in 2018, all 12 dimensions surprisingly increased in the safety culture conducted in 2019.CONCLUSION:Inadequate feedback and communications about error and lack of communication openness are key challenges for patient safety in the delivery of care in this hospital. Results of this baseline survey indicate the need for a modified approach and attention to context when designing interventions aimed at improving the safety culture in this organization.
机译：背景：中国医院的患者安全文化有限。本研究旨在评估北京大学癌症医院的患者安全文化，并确定改善组织安全文化的机会。方法：分别于2018年4月和2019年进行了横断面研究。利用医院安全文化（汇丰）的医院调查，从临床和行政人员收集了患者安全文化的数据。结果：十二个复合尺寸变量分层集群。三个最高的阳性反应尺寸包括“组织学习和持续改进”（92.9％），“单位内的团队合作”（89.7％）和“医院管理支持”（83.7％）（83.7％），而3个最低肯定响应尺寸事件的频率报告'（43.9％），“对错误的非惩罚性反应”（51.1％），“沟通开放”（52.2％）和“人员配备”（53.7％）。与美国的平均成绩相比，北京大学癌症医院的分数明显降低了“沟通开放”和“事件频率”。在目标持续改进后，基于2018年的结果，所有12个维度在2019年进行的安全文化中令人惊讶地增加。结论：反馈不足和关于误差的通信以及缺乏沟通开放性在本医院提供护理的患者安全的关键挑战。该基线调查结果表明，在设计旨在改善本组织安全文化的干预措施时，需要对环境的修改方法和注意力。

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