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

10.6974/TCNJ.200603.0088

梁惠玉(Hui-Yu Liang)；章淑娟(Shu-Chuan Chang)

醫療異常事件 ； 醫療異常事件通報 ； 認知 ； incident event ； medical incident report ； cognition

志為護理-慈濟護理雜誌

5卷1期（2006 / 03 / 01）

88 - 97

繁體中文

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.

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.

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