| Summary: | 碩士 === 中國醫藥大學 === 醫務管理學研究所碩士班 === 98 === Objective: Patient safety has become the major issue in hospital management in recent years. The purpose of this study is to investigate the use rate and outcomes of various patient safety tools among hospitals in Taiwan. The study also analyzes the relationship as well as variations between hospital characteristics and patient safety tools usage and its performance.
Methods: The study survey the hospitals on the hospital accreditation list from 2007-2009. We sent out 415 questionnaires and the response rate is 34.2%. The statistics analyses include one- way ANOVA, bivariate analysis and multiple regressions using SPSS.
Results: The ratio of surveyed hospitals with independent patient safety unit is 33.8%. About 40% of the surveyed hospital hired 1 to 2 staff in charge of patient safety. The top three patient safety tools are adverse event reporting system (96.5%), patient safety information system (86.8%) and root cause analysis (80.3%). In terms of performance evaluation, most hospitals have effectively improved reporting culture and reduce patient fall. The operation of the tissue committee to eliminate unnecessary surgery is at the bottom. The regression results show that the smaller the hospital in terms of level of care and bed size, the lower the use of patient safety tools and outcome performance.
Conclusions: The lack of resource is the main reason that most hospitals did not follow up and evaluate patient safety improvement after implementation of various tools. Patient safety education, patient safety culture, hire more staff specialized in patient safety will all benefit the improvement of patient safety performance.
Key words: Patient Safety, Adverse Event Reporting System, Root Cause Analysis, Patient Safety Culture
|
|---|
