Research progress of assessment of outpatients safety culture_West China Medical Journal

Authors：

ZENG Weiyan ^1,2 , LI Lan ¹ ,  HU Xiuying ¹

1. Innovation Center of Nursing Research, West China School of Medicine / West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Quality Management Department, Pengzhou People’s Hospital, Pengzhou, Sichuan 611930, P. R. China;

Corresponding author：

HU Xiuying, Email: huxiuying@scu.edu.cn

Keywords：

Outpatients; Patient safety culture; Assessment

DOI：

10.7507/1002-0179.201908173

Video：

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Patient safety culture is an extension of the concept of safety culture in medical institutions and is a hot spot of current patient safety research. In recent years, patient safety culture research has developed rapidly, and new assessment tools and related research have emerged. There is a correlation between cultural factors and safety outcomes, and changing the patient safety culture can improve patient outcomes. This paper focuses on the literature review of patient safety and outpatient safety assessment tools published in China and abroad, analyzes and compares the performance characteristics of domestic and foreign assessment tools, and provides reference for the future patient safety culture research.

Citation： ZENG Weiyan, LI Lan, HU Xiuying. Research progress of assessment of outpatients safety culture. West China Medical Journal, 2020, 35(2): 236-239. doi: 10.7507/1002-0179.201908173 Copy

1.	完善全科医生培养鼓励社会力量举办全科诊所. 中国战略新兴产业, 2018(9): 15.
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4.	陈秀英, 王若梅, 钟玉莲, 等. 门诊护理不良事件原因分析与对策. 岭南急诊医学杂志, 2017, 22(6): 595-597.
5.	Leape LL, Kabcenell AI, Gandhi TK, et al. Reducing adverse drug events: lessons from a breakthrough series collaborative. Jt Comm J Qual Improv, 2000, 26(6): 321-331.
6.	Schneider B, Ehrhart MG, Macey WH. Organizational climate and culture. Annu Rev Psychol, 2013, 64: 361-388.
7.	World Health Organization. The economics of patient safety in primary and ambulatory care. (2018-11-29)[2019-08-23]. https://www.oecd-ilibrary.org/social-issues-migration-health/the-economics-of-patient-safety-in-primary-and-ambulatory-care_baf425ad-en.
8.	International Atomic Energy Agency. Safety series No.75-INSAG-4, safety culture: a report by the International Nuclear Safety Advisory Group. (2003-06-17)[2019-08-23]. https://www.energy.gov/ehss/downloads/safety-series-no-75-insag-4-safety-culture-report-international-nuclear-safety.
9.	Edwards JRD, Davey J, Armstrong K. Returning to the roots of culture: a review and re-conceptualisation of safety culture. Safety Science, 2013, 55(6): 70-80.
10.	Spaeth RG. 患者安全文化的发展和运作. 中国医院, 2005, 9(12): 7-8.
11.	李亚琴, 石永乐, 王凌颖, 等. 国内外医疗机构患者安全文化测评工具的研究进展. 中国护理管理, 2016, 16(8): 1102-1105.
12.	姜贺, 许乐. 曼彻斯特病人安全框架在安全文化研究中的应用. 护理研究, 2011, 25(4): 849-851.
13.	Agency for Healthcare Research and Quality. Nursing home survey on patient safety culture: user’s guide. (2018-07)[2019-08-23]. https://www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/nursing-home/nhguide/nursinghomeusersguide.pdf.
14.	Zwart DL, Langelaan M, van de Vooren RC, et al. Patient safety culture measurement in general practice. Clinimetric properties of 'SCOP'. BMC Fam Pract, 2011, 12: 117.
15.	Wagner LM, Capezuti E, Rice JC. Nurses’ perceptions of safety culture in long-term care settings. J Nurs Scholarsh, 2009, 41(2): 184-192.
16.	Modak I, Sexton JB, Lux TR, et al. Measuring safety culture in the ambulatory setting: the safety attitudes questionnaire--ambulatory version. J Gen Intern Med, 2007, 22(1): 1-5.
17.	Flin R, Fletcher G, McGeorge P, et al. Anaesthetists’ attitudes to teamwork and safety. Anaesthesia, 2003, 58(3): 233-242.
18.	Minvielle E, Dervaux B, Retbi A, et al. Culture, organization, and management in intensive care: construction and validation of a multidimensional questionnaire. J Crit Care, 2005, 20(2): 126-138.
19.	Agency for Healthcare Research and Quality. Pharmacy survey on patient safety culture: user’s guide. (2018-07)[2019-08-23]. https://www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/toolkit/pharmacyuserguide.pdf.
20.	Agency for Healthcare Research and Quality. Ambulatory Surgery Center Survey on Patient Safety Culture: user’s guide. (2018-07)[2019-08-23]. https://www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/userguide/ascusersguide.pdf.
21.	陈方蕾, 周立. 患者安全文化测评问卷的构建. 解放军护理杂志, 2009, 26(1A): 1-4.
22.	郭霞. 中文修订版安全态度调查问卷的初步研究. 太原: 山西医科大学, 2009.
23.	许璧瑜, 张晋昕, 成守珍, 等. 医疗机构患者安全文化测评量表信度与效度研究. 中华护理杂志, 2010, 45(9): 840-842.
24.	徐娜, 张培莉, 王斌全. 中文版葛森医院安全氛围量表的信度、效度研究. 中国护理管理, 2013, 13(3): 22-25.
25.	李敏奇, 汤慧芹, 魏雪峰, 等. 我国公立医院病人安全文化的现状研究. 中国医院管理, 2017, 37(1): 11-13.
26.	张靖婧, 焦明丽, 刘鹤, 等. 中文版医院病人安全文化调查表条目的初步筛选. 中国医院管理, 2015, 35(9): 40-43.
27.	罗敏, 谢惠兰, 欧阳庆, 等. 中文版曼彻斯特病人安全框架的构建与测评. 现代临床护理, 2015, 14(12): 1-6.
28.	姜贺, 许乐. 患者安全文化测评问卷的初步编制及信效度检验. 护理管理杂志, 2013, 13(6): 386-388.
29.	黄静, 李春燕. 护理人员对患者安全认知、行为及培训需求调查分析. 中国护理管理, 2011, 11(9): 71-74.
30.	沈贻萍. 不同学历层次新进护理人员患者安全文化相关知识的认知现状. 解放军护理杂志, 2012, 29(10A): 23-25.
31.	李燕, 魏誉民, 丁明晖. 护士对患者安全文化的感知调查. 护理学杂志, 2009, 24(16): 15-17.
32.	Smits M, Keizer E, Giesen P, et al. The psychometric properties of the ‘safety attitudes questionnaire’ in out-of-hours primary care services in the Netherlands. PLoS One, 2017, 12(2): e0172390.
33.	Bondevik GT, Hofoss D, Hansen EH, et al. The safety attitudes questionnaire - ambulatory version: psychometric properties of the Norwegian translated version for the primary care setting. BMC Health Serv Res, 2014, 14: 139.
34.	Klemenc-Ketis Z, Maletic M, Stropnik V, et al. The safety attitudes questionnaire -ambulatory version: psychometric properties of the Slovenian version for the out-of-hours primary care setting. BMC Health Serv Res, 2017, 17(1): 36.
35.	Agency for Healthcare Research and Quality. Medical office survey on patient safety culture. (2013-08)[2019-08-23]. https://www.ahrq.gov/sops/surveys/medical-office/index.html.
36.	Parker D, Wensing M, Esmail A, et al. Measurement tools and process indicators of patient safety culture in primary care.A mixed methods study by the LINNEAUS collaboration on patient safety in primary care. Eur J Gen Pract, 2015, 21(Suppl 1): 26-30.
37.	Gorman PN, O’Malley JP, Fagnan LJ. The relationship of self-report of quality to practice size and health information technology. J Am Board Fam Med, 2012, 25(5): 614-624.
38.	Hickner J, Smith SA, Yount N, et al. Differing perceptions of safety culture across job roles in the ambulatory setting: analysis of the AHRQ Medical Office Survey on patient safety culture. BMJ Qual Saf, 2016, 25(8): 588-594.
39.	Ornelas MD. Patient safety culture in portuguese primary healthcare. Quality in Primary Care, 2016, 24(5): 214-218.
40.	Webair HH, Al-Assani SS, Al-Haddad RH, et al. Assessment of patient safety culture in primary care setting, Al-Mukala, Yemen. BMC Fam Pract, 2015, 16: 136.
41.	El Zoghbi M, Farooq S, Abulaban A, et al. Improvement of the patient safety culture in the primary health care corporation-qatar. J Patient Saf, 2018.
42.	李永秀, 陈晓荣, 陈海燕, 等. 医院安全文化认知现状调查及对策. 青海医药杂志, 2017, 47(8): 72-74.

1. 完善全科医生培养鼓励社会力量举办全科诊所. 中国战略新兴产业, 2018(9): 15.
2. 中华人民共和国国家卫生健康委员会. 2018 年 1-11 月全国医疗服务情况. (2019-01-23)[2019-08-23]. http://www.nhc.gov.cn/mohwsbwstjxxzx/s7967/201901/57dec69d2c8c4e669864b067d2a1fb2e.shtml.
3. 中华人民共和国国家卫生健康委员会. 2018年11月底全国医疗卫生机构数. (2019-01-23)[2019-08-23]. http://www.nhc.gov.cn/mohwsbwstjxxzx/s7967/201901/94fcf9be64b84ccca2f94e3efead7965.shtml.
4. 陈秀英, 王若梅, 钟玉莲, 等. 门诊护理不良事件原因分析与对策. 岭南急诊医学杂志, 2017, 22(6): 595-597.
5. Leape LL, Kabcenell AI, Gandhi TK, et al. Reducing adverse drug events: lessons from a breakthrough series collaborative. Jt Comm J Qual Improv, 2000, 26(6): 321-331.
6. Schneider B, Ehrhart MG, Macey WH. Organizational climate and culture. Annu Rev Psychol, 2013, 64: 361-388.
7. World Health Organization. The economics of patient safety in primary and ambulatory care. (2018-11-29)[2019-08-23]. https://www.oecd-ilibrary.org/social-issues-migration-health/the-economics-of-patient-safety-in-primary-and-ambulatory-care_baf425ad-en.
8. International Atomic Energy Agency. Safety series No.75-INSAG-4, safety culture: a report by the International Nuclear Safety Advisory Group. (2003-06-17)[2019-08-23]. https://www.energy.gov/ehss/downloads/safety-series-no-75-insag-4-safety-culture-report-international-nuclear-safety.
9. Edwards JRD, Davey J, Armstrong K. Returning to the roots of culture: a review and re-conceptualisation of safety culture. Safety Science, 2013, 55(6): 70-80.
10. Spaeth RG. 患者安全文化的发展和运作. 中国医院, 2005, 9(12): 7-8.
11. 李亚琴, 石永乐, 王凌颖, 等. 国内外医疗机构患者安全文化测评工具的研究进展. 中国护理管理, 2016, 16(8): 1102-1105.
12. 姜贺, 许乐. 曼彻斯特病人安全框架在安全文化研究中的应用. 护理研究, 2011, 25(4): 849-851.
13. Agency for Healthcare Research and Quality. Nursing home survey on patient safety culture: user’s guide. (2018-07)[2019-08-23]. https://www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/nursing-home/nhguide/nursinghomeusersguide.pdf.
14. Zwart DL, Langelaan M, van de Vooren RC, et al. Patient safety culture measurement in general practice. Clinimetric properties of 'SCOP'. BMC Fam Pract, 2011, 12: 117.
15. Wagner LM, Capezuti E, Rice JC. Nurses’ perceptions of safety culture in long-term care settings. J Nurs Scholarsh, 2009, 41(2): 184-192.
16. Modak I, Sexton JB, Lux TR, et al. Measuring safety culture in the ambulatory setting: the safety attitudes questionnaire--ambulatory version. J Gen Intern Med, 2007, 22(1): 1-5.
17. Flin R, Fletcher G, McGeorge P, et al. Anaesthetists’ attitudes to teamwork and safety. Anaesthesia, 2003, 58(3): 233-242.
18. Minvielle E, Dervaux B, Retbi A, et al. Culture, organization, and management in intensive care: construction and validation of a multidimensional questionnaire. J Crit Care, 2005, 20(2): 126-138.
19. Agency for Healthcare Research and Quality. Pharmacy survey on patient safety culture: user’s guide. (2018-07)[2019-08-23]. https://www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/toolkit/pharmacyuserguide.pdf.
20. Agency for Healthcare Research and Quality. Ambulatory Surgery Center Survey on Patient Safety Culture: user’s guide. (2018-07)[2019-08-23]. https://www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/userguide/ascusersguide.pdf.
21. 陈方蕾, 周立. 患者安全文化测评问卷的构建. 解放军护理杂志, 2009, 26(1A): 1-4.
22. 郭霞. 中文修订版安全态度调查问卷的初步研究. 太原: 山西医科大学, 2009.
23. 许璧瑜, 张晋昕, 成守珍, 等. 医疗机构患者安全文化测评量表信度与效度研究. 中华护理杂志, 2010, 45(9): 840-842.
24. 徐娜, 张培莉, 王斌全. 中文版葛森医院安全氛围量表的信度、效度研究. 中国护理管理, 2013, 13(3): 22-25.
25. 李敏奇, 汤慧芹, 魏雪峰, 等. 我国公立医院病人安全文化的现状研究. 中国医院管理, 2017, 37(1): 11-13.
26. 张靖婧, 焦明丽, 刘鹤, 等. 中文版医院病人安全文化调查表条目的初步筛选. 中国医院管理, 2015, 35(9): 40-43.
27. 罗敏, 谢惠兰, 欧阳庆, 等. 中文版曼彻斯特病人安全框架的构建与测评. 现代临床护理, 2015, 14(12): 1-6.
28. 姜贺, 许乐. 患者安全文化测评问卷的初步编制及信效度检验. 护理管理杂志, 2013, 13(6): 386-388.
29. 黄静, 李春燕. 护理人员对患者安全认知、行为及培训需求调查分析. 中国护理管理, 2011, 11(9): 71-74.
30. 沈贻萍. 不同学历层次新进护理人员患者安全文化相关知识的认知现状. 解放军护理杂志, 2012, 29(10A): 23-25.
31. 李燕, 魏誉民, 丁明晖. 护士对患者安全文化的感知调查. 护理学杂志, 2009, 24(16): 15-17.
32. Smits M, Keizer E, Giesen P, et al. The psychometric properties of the ‘safety attitudes questionnaire’ in out-of-hours primary care services in the Netherlands. PLoS One, 2017, 12(2): e0172390.
33. Bondevik GT, Hofoss D, Hansen EH, et al. The safety attitudes questionnaire - ambulatory version: psychometric properties of the Norwegian translated version for the primary care setting. BMC Health Serv Res, 2014, 14: 139.
34. Klemenc-Ketis Z, Maletic M, Stropnik V, et al. The safety attitudes questionnaire -ambulatory version: psychometric properties of the Slovenian version for the out-of-hours primary care setting. BMC Health Serv Res, 2017, 17(1): 36.
35. Agency for Healthcare Research and Quality. Medical office survey on patient safety culture. (2013-08)[2019-08-23]. https://www.ahrq.gov/sops/surveys/medical-office/index.html.
36. Parker D, Wensing M, Esmail A, et al. Measurement tools and process indicators of patient safety culture in primary care.A mixed methods study by the LINNEAUS collaboration on patient safety in primary care. Eur J Gen Pract, 2015, 21(Suppl 1): 26-30.
37. Gorman PN, O’Malley JP, Fagnan LJ. The relationship of self-report of quality to practice size and health information technology. J Am Board Fam Med, 2012, 25(5): 614-624.
38. Hickner J, Smith SA, Yount N, et al. Differing perceptions of safety culture across job roles in the ambulatory setting: analysis of the AHRQ Medical Office Survey on patient safety culture. BMJ Qual Saf, 2016, 25(8): 588-594.
39. Ornelas MD. Patient safety culture in portuguese primary healthcare. Quality in Primary Care, 2016, 24(5): 214-218.
40. Webair HH, Al-Assani SS, Al-Haddad RH, et al. Assessment of patient safety culture in primary care setting, Al-Mukala, Yemen. BMC Fam Pract, 2015, 16: 136.
41. El Zoghbi M, Farooq S, Abulaban A, et al. Improvement of the patient safety culture in the primary health care corporation-qatar. J Patient Saf, 2018.
42. 李永秀, 陈晓荣, 陈海燕, 等. 医院安全文化认知现状调查及对策. 青海医药杂志, 2017, 47(8): 72-74.

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