Measuring patient safety culture in Taiwan using the Hospital Survey on Patient Safety Culture (HSOPSC)
Measuring patient safety culture in Taiwan using the Hospital Survey on Patient Safety Culture (HSOPSC)
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DOI：
10.1186/1472-6963-10-152
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发表时间：
2010-06-07
影响因子：
2.8
通讯作者：
Li, Hung-Hui
中科院分区：
文献类型：
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作者：
Chen, I-Chi;Li, Hung-Hui
背景：患者安全是医疗保健质量的重要组成部分。随着医疗保健组织努力提高护理质量，人们越来越认识到建立患者安全文化的重要性。在这项研究中，作者使用医院患者安全文化调查（HSOPSC）问卷来评估台湾的患者安全文化，并试图为台湾特有的一些现象提供解释。 方法：作者使用 HSOPSC 测量了台湾 42 家医院的患者安全文化的 12 个维度。该调查共收到 788 名受访者，包括医生、护士和非临床工作人员。本研究采用SPSS 15.0 for Windows和Amos 7软件工具对调查数据进行统计分析，包括结构方程模型的描述性统计和验证性因子分析。结果：HSOPSC调查12个患者安全文化维度的总体平均阳性反应率为64%，略高于AHRQ数据的平均阳性反应率（61%）。结果显示，台湾的医院工作人员对其组织中的患者安全文化持积极态度。获得最高积极回应率的维度是“单位内的团队合作”，与美国报告的结果类似。积极回应百分比最低的维度是“人员配置”。统计分析显示台湾与美国在“错误的反馈与沟通”、“沟通的开放性”和“事件报告的频率”三个维度上存在差异。结论：HSOPSC测量为评估台湾患者安全文化提供了证据。结果显示，总体而言，台湾医院工作人员对其组织内的患者安全文化持积极态度。美国数据与台湾数据之间存在的差异表明，在不同文化环境中应用安全文化测量工具时，应考虑文化独特性。
Background: Patient safety is a critical component to the quality of health care. As health care organizations endeavour to improve their quality of care, there is a growing recognition of the importance of establishing a culture of patient safety. In this research, the authors use the Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire to assess the culture of patient safety in Taiwan and attempt to provide an explanation for some of the phenomena that are unique in Taiwan.Methods: The authors used HSOPSC to measure the 12 dimensions of the patient safety culture from 42 hospitals in Taiwan. The survey received 788 respondents including physicians, nurses, and non-clinical staff. This study used SPSS 15.0 for Windows and Amos 7 software tools to perform the statistical analysis on the survey data, including descriptive statistics and confirmatory factor analysis of the structural equation model.Results: The overall average positive response rate for the 12 patient safety culture dimensions of the HSOPSC survey was 64%, slightly higher than the average positive response rate for the AHRQ data (61%). The results showed that hospital staff in Taiwan feel positively toward patient safety culture in their organization. The dimension that received the highest positive response rate was "Teamwork within units", similar to the results reported in the US. The dimension with the lowest percentage of positive responses was "Staffing". Statistical analysis showed discrepancies between Taiwan and the US in three dimensions, including "Feedback and communication about error", "Communication openness", and "Frequency of event reporting".Conclusions: The HSOPSC measurement provides evidence for assessing patient safety culture in Taiwan. The results show that in general, hospital staffs in Taiwan feel positively toward patient safety culture within their organization. The existence of discrepancies between the US data and the Taiwanese data suggest that cultural uniqueness should be taken into consideration whenever safety culture measurement tools are applied in different cultural settings.