醫護人員對醫療異常事件通報認知之探討

Physicians and Nurses Cognition Related to Medical Incident Report

本研究目的是探討醫師及護理人員對醫療異常事件通報的認知。採橫斷描述性研究，以分層隨機抽樣方式，選取東部兩家教學醫院之醫師及護理人員為研究對象，研究工具採自擬之結構式問卷，內在一致性Cronbachα為.77。收案時間自民國94年04月至民國94年06月，有效樣本數為428位。研究發現：醫師對通報流程認知不足，護理人員對醫療異常事件通報認知高於醫師且達顯著性差異（t=6.451，p<.05）。醫護人員因年齡、年資、職位、科別、教育程度、通報件數、參加教育訓練及個人通報依據的不同，對通報認知有差異（p<.05）。本研究結果可提供醫院管理者在通報制度策略擬定、執行及人員教育訓練的一個重要參考。

The aim of this study is to investigate the perception of physicians and nurses towards the reporting system of medical incidents in the hospitals. We conducted a cross-sectional study by distributing a structured questionnaire to medical and nursing staff. Study subjects were selected from the staff of two teaching hospitals in eastern Taiwan by stratified random sampling. From April 2005 to June 2005, the number of returned questionnaires was four hundreds and twenty-eight. The results showed the internal consistency reliability Cronbach’s alpha value to be .77. The awareness towards incident report system among the physicians is generally less than that among the nurses, with significant difference (t=6.451, p<.05). The difference of awareness of incidence report system is also significant if compared among different age groups, level in professional expertise, different units, level of education received, number of incident reporting, groups of different attendance rates of training program related to patients’ safety, and level of reasoning of individual report. The results of the study can provide administrative authority of the hospital the knowledge basis in formulating the strategy to improve patient safety, effectively implementing incident report system, and designing comprehensive in-service education for medical profession.