發展本土化病人安全巡視WalkRoundsTM有助提升機構病人安全風氣

Optimization of Patient Safety Leadership WalkRounds™ to Foster Safety Culture in a Taiwan Hospital

本院自2021年實施病人安全巡檢(Patient Safety Leadership WalkRounds™)，為確保第一線同仁瞭解異常事件通報價值，於2023年優化WRs執行項目，增加事前匿名以調查同仁對病安通報認知，利用PFM模式於15分鐘內完成內部稽核。並由院級主管帶領巡視，共15個單位136位同仁接受事前問卷調查及參與訪談。

調查得知巡視前後同仁在「知道通報成案後有獎勵金」、「單位對病安通報落實度」及「病人無造成傷害就不須通報」後，通報次數顯著提升；接受巡視單位的通報率增加，其中醫事單位在安全風氣構面較去年提升。

此外，即時記錄問題於巡視活動結束後一個月內全數解決，並回饋周知單位知悉，使第一線同仁感受到院方的重視與支持，有效提升同仁通報意願與時效性。

 

Since 2021, we have been implementing Patient Safety Leadership WalkRounds™ at Taipei Medical University Hospital. To ensure that frontline staff understand the importance of reporting adverse events, we optimized the Patient Safety Leadership WalkRounds™ intervention in 2023 by introducing anonymous presurveys to evaluate staff’s knowledge about reporting patient safety events and by conducting 15-min internal audits through (Patient Focused Method, PFM). Senior management led the rounds, engaging 136 staff (from 15 departments) who had completed presurveys and participated in interviews.

Significant postintervention improvements were noted in staff’s awareness of the hospital’s reward system for reporting adverse events. Consequently, the rate of adverse event reporting increased. Furthermore, our findings highlighted the need to enhance staff’s understanding of the importance of reporting even harmless events. The rate of reporting increased in all departments visited. Compared with the results of the previous year’s assessments, current assessments revealed enhanced safety culture in clinical support departments.

All problems identified during the rounds were addressed within a month, with feedback provided to corresponding departments. Overall, the optimized intervention made frontline staff feel valued and supported by the hospital, effectively enhancing their willingness and timeliness in reporting.