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目的筛选病人安全文化的影响因素并探索各因素对病人安全文化系统的影响机制,为更好地提高患者安全提供参考依据。方法采用中文修订版医院病人安全文化调查表(C-HSOPSC),通过随机抽样的方法,对黑龙江省291名医院管理层人员进行现场调查,运用线性回归模型和Kendall相关系数筛选病人安全文化影响因素,利用路径分析方法探索其影响路径并建立路径模型。结果路径分析结果表明,医院管理者的支持对病人安全文化直接影响最大,科室内团队合作也是重要的影响因素,但需要通过管理者支持才能对病人安全文化起到最大的间接作用。结论病人安全涵盖多重维度视角,医院管理者应结合院领导的支持、科室内团队合作、非惩罚性文化、医务人员的沟通与交流等重要因素的影响路径采取相应干预措施。
Objective To screen influencing factors of patient safety culture and to explore the influence mechanism of various factors on patient safety culture system so as to provide reference for better patient safety. Methods C-HSOPSC was used to investigate 291 hospital management personnel in Heilongjiang Province by random sampling method. The linear regression model and Kendall correlation coefficient were used to screen the influencing factors of safety culture of patients , Use the path analysis method to explore its impact path and establish the path model. Results The results of path analysis show that the support of hospital managers has the greatest direct impact on patient safety culture and teamwork within the department is also an important influencing factor. However, the support of the managers can play a most indirect role in patient safety culture. Conclusions Patient safety covers multidimensional perspectives. Hospital managers should take appropriate interventions in combination with the leadership of the hospital leadership, teamwork within the department, non-punitive culture, and communication and exchange of medical personnel.