住院病人對病人安全認知之因素分析－－以北縣某區域醫院為例

The Study on Inpatient's Concepts toward Patient Safety

本研究旨在分析住院病人對於病人安全課題的基本觀念，並嘗試找出外 在環境與病人特質產生交互影響的重要因素，進而改善醫療服務提供之過 程，冀能降低醫療糾紛的發生。本研究使用結構式問卷，就病人安全基本觀 念、認知程度進行調查，共計414份有效問卷，回收率為82.8% 。資料分析方 法包括描述性分析、t-test 、ANOVA 、Factor Analysis 等。研究結果顯示， 在 病人安全基本觀念部份，病人認為醫院應主動建置安全的醫療環境，並認為 醫療錯誤的發生多是人為的錯誤，也不認為院內感染應該發生：在病人安全 認知部分，經因素分析歸納出包括安全用藥因子、治療檢查因子、就醫心理 因子三大因素。本研究的結果可提供醫療院所於建構病人安全文化、系統架 構與執行方案時之參考。

The purpose of this study is to analyze the basic concept of the patient safety. The effects of patient safety include the environmental factors and individual factors which will be explored to promote high quality, better safety, and reduce the risk of Medical Disputes during hospitalization. Structured questionnaire is designed to measure the concepts and cognitions of patient safety. 414 respondents will be recruited to participate this study. 82.8% of the participants completed the test. The statistical methods used include t-test, ANOVA, and factor analysis. Results: majority of participants expect the healthcare system to establish a safe environment for the patients. The participants believe that most of the medical mistakes are caused by human error. Hospital-acquired infection should not be allowed to occur. In addition, the results of factor analysis on cognition of patient safety include three major factors, namely, medication safety, invasive procedure safety and individual factors. The results of this research can be used as a reference for an organization to develop a culture of safety and the implementation of best practices.