The characteristics of patient safety culture in Japan, Taiwan and the United States.
The characteristics of patient safety culture in Japan, Taiwan and the United States.
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DOI：
10.1186/1472-6963-13-20
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发表时间：
2013-01-14
影响因子：
2.8
通讯作者：
Hasegawa T
中科院分区：
文献类型：
--
作者：
Fujita S;Seto K;Ito S;Wu Y;Huang CC;Hasegawa T
质量和安全问题越来越受到关注。患者安全文化（PSC）在患者安全中发挥着重要作用。不同国家的PSC的特点，每个国家都有一套不同的价值观，还没有得到充分的确定。本研究的目的是调查PSC在日本，台湾和美国的特点进行了横断面调查，在日本和台湾使用的医院调查PSC（HSOPS）问卷由美国卫生保健研究和质量局（AHRQ）开发。日本和台湾的数据也与AHRQ提供的美国“2010 HSOPS比较数据库”进行了比较。日本、中国台湾和美国的有效应答率分别为66.5%（6，963/10，466）、85.7%（10，019/11，692）和35.2%（291，341/827，424）。在过去12个月内具有一定事件报告经验的受访者比例在日本最高。总体而言，美国医护人员对PSC的评估可能高于日本或台湾。日本的持续改善态度和台湾的未遂事件报告被评为低。在美国，人员配置被评为高。研究结果表明，PSC在不同国家之间存在差异，在制定有效的干预计划以改善PSC时，应特别考虑每个国家的文化背景。需要采用改进的方法和共同的协议进行额外的调查，以准确地比较各国之间的PSC。
Quality and safety issues are receiving growing attention. Patient safety culture (PSC) plays an important role in patient safety. The characteristics of PSC in various countries, each with a different set of values, have not been determined sufficiently. The aim of this study is to investigate the characteristics of PSC in Japan, Taiwan and the U.S. A cross-sectional survey was conducted in Japan and Taiwan using the Hospital Survey on PSC (HSOPS) questionnaire developed by the U.S. Agency for Healthcare Research and Quality (AHRQ). Data from Japan and Taiwan were also compared with the U.S. “2010 HSOPS Comparative Database” provided by AHRQ. Valid response rates in Japan, Taiwan and the U.S. were 66.5% (6,963/10,466), 85.7% (10,019/11,692) and 35.2% (291,341/827,424), respectively. The proportion of respondents with some experience of event reporting during the past 12 months was highest in Japan. In general, U.S. healthcare workers were likely to evaluate their PSC higher than that in Japan or Taiwan. The attitude of continuous improvement in Japan and event reporting of near misses in Taiwan were rated as low. In the U.S., staffing was rated as high. The results suggest that PSC varies among different countries, and the cultural setting of each country should be given special consideration in the development of effective intervention plans to improve PSC. Additional investigations with improved methodology and a common protocol are required to accurately compare PSCs among countries.
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