| Summary: | 碩士 === 臺北醫學大學 === 醫務管理學系 === 93 === The purpose of the research is to understand the perception and attitude of the population toward the implementation of patient safety as well as the perception, attitude and behavior of patient safety during the utilization of health care service. Also, the influence factors are discussed.
The cross-sectional study is based on the population of Taipei City, divided by qualitative study and quantitative study. In qualitative study, two forums of village officers by focus group method were held in Shin-Yi District of Taipei in February and May 2005 separately in order to well understand the opinions of patient safety by the representatives of villages. In quantitative study, the questionnaire executed by phone interview targeted at the citizens living in Taipei City, age by 20 and above in April 2005, to understand the perception and attitude of the population toward the implementation of patient safety as well as the perception, attitude and behavior of patient safety during the utilization of health care service. 7,857 calls were made, and 507 valid correspondents collected.
The results of the survey are as follows:
1. The perception of “patient safety” for the population: 88.4% of the correspondents answered never hear of “patient safety”.
2. Regarding the perception of population toward the implementation of patient safety, the correspondents had less perception in the following items:
（1） Physicians mark the operational site prior to the start of surgical procedure can eliminate wrong-site surgery.
（2） Caregivers use at least two patient identifiers can prevent mis-identification of patients.
（3） Caregivers take action to fall risks can reduce the risk of patient harm resulting from falls.
3. As to the attitude of population toward the implementation patient safety, it is briefed as follows:
（1） More than 95% correspondents regarded the implementation as the caregivers’ responsibilities.
（2） The most recognized item evaluated by correspondents is “Caregivers wash hands before and after having direct contact with patients can prevent bacteria and virus”.
4. Regarding the factors of influencing the perception and attitude of population toward the implementation patient safety:
（1） Vocation display significant difference respectively in the perception of population toward the implementation patient safety.
（2） None of the variable shows the significant difference in the attitude of population toward the implementation patient safety.
5. In the aspect of the perception toward patient safety during the utilization of health care service, what patients lack most is as follows: Prior to visit the doctor, the patient can write down the symptoms, physical status and inquiry to discuss and consult with the caregivers.
6. In the aspect of the attitude toward patient safety during the utilization of health care service:
（1） 95% of the correspondents regarded all active participating patient safety as the patients’ responsibility.
（2） Make sure that all of the patients’ caregivers know about everything patients are taking is the most implemented item by patients during visits.
（3） It is the least item for the correspondents to write down information about the symptoms, physical status and any inquiry prior to utilizing the health care service.
7. In the aspect of the behavior toward patient safety during the utilization of health care service: It is shown the least item that the correspondents write down information about the symptoms, physical status and inquiry prior to utilizing the health care service, only 37.8% of correspondents replied regular practicing the behavior.
8. The influential factors for the perception, attitude and behavior of patient safety during the utilization of health care service resulted in:
（1） Gender and experience of admission displayed statistically significant difference in the perception.
（2） None of the variables showed significant difference in the attitude.
（3） Gender, age and experience of operation resulted in significant difference in behavior.
According to the findings in the thesis, some suggestions are concluded as follows:
1. Some platform to communicate patient safety and health care issues should be established by the supervised governmental organizations. The responsibilities of the platform is to plan and develop the education of patient safety, promote and communicate the performance of patient safety implementation, collect patients’ opinion and expand interactions with patients.
2. Hospitals should plan, practice and display the performance of patient safety by focusing on those easily received and perceived items by patients and their families. Also, hospitals should initiate training program for volunteers at first and then provide patient safety education and assistance to patients in order to sustain patient-doctor relationship.
3. It is suggested the further researches may be focused on the effectiveness analysis of patient safety implantation. Moreover, since mass communication media is one of the most important information sources for people, therefore, the reported issues of media will deeply influence the perception of people. As a result, researching on media for patient safety issues will be another key field in the future.
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