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.	完善全科醫生培養鼓勵社會力量舉辦全科診所. 中國戰略新興產業, 2018(9): 15.
2.	中華人民共和國國家衛生健康委員會. 2018 年 1-11 月全國醫療服務情況. (2019-01-23)[2019-08-23]. http://www.nhc.gov.cn/mohwsbwstjxxzx/s7967/201901/57dec69d2c8c4e669864b067d2a1fb2e.shtml.
3.	中華人民共和國國家衛生健康委員會. 2018年11月底全國醫療衛生機構數. (2019-01-23)[2019-08-23]. http://www.nhc.gov.cn/mohwsbwstjxxzx/s7967/201901/94fcf9be64b84ccca2f94e3efead7965.shtml.
4.	陳秀英, 王若梅, 鐘玉蓮, 等. 門診護理不良事件原因分析與對策. 嶺南急診醫學雜志, 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. 患者安全文化的發展和運作. 中國醫院, 2005, 9(12): 7-8.
11.	李亞琴, 石永樂, 王凌穎, 等. 國內外醫療機構患者安全文化測評工具的研究進展. 中國護理管理, 2016, 16(8): 1102-1105.
12.	姜賀, 許樂. 曼徹斯特病人安全框架在安全文化研究中的應用. 護理研究, 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.	陳方蕾, 周立. 患者安全文化測評問卷的構建. 解放軍護理雜志, 2009, 26(1A): 1-4.
22.	郭霞. 中文修訂版安全態度調查問卷的初步研究. 太原: 山西醫科大學, 2009.
23.	許璧瑜, 張晉昕, 成守珍, 等. 醫療機構患者安全文化測評量表信度與效度研究. 中華護理雜志, 2010, 45(9): 840-842.
24.	徐娜, 張培莉, 王斌全. 中文版葛森醫院安全氛圍量表的信度、效度研究. 中國護理管理, 2013, 13(3): 22-25.
25.	李敏奇, 湯慧芹, 魏雪峰, 等. 我國公立醫院病人安全文化的現狀研究. 中國醫院管理, 2017, 37(1): 11-13.
26.	張靖婧, 焦明麗, 劉鶴, 等. 中文版醫院病人安全文化調查表條目的初步篩選. 中國醫院管理, 2015, 35(9): 40-43.
27.	羅敏, 謝惠蘭, 歐陽慶, 等. 中文版曼徹斯特病人安全框架的構建與測評. 現代臨床護理, 2015, 14(12): 1-6.
28.	姜賀, 許樂. 患者安全文化測評問卷的初步編制及信效度檢驗. 護理管理雜志, 2013, 13(6): 386-388.
29.	黃靜, 李春燕. 護理人員對患者安全認知、行為及培訓需求調查分析. 中國護理管理, 2011, 11(9): 71-74.
30.	沈貽萍. 不同學歷層次新進護理人員患者安全文化相關知識的認知現狀. 解放軍護理雜志, 2012, 29(10A): 23-25.
31.	李燕, 魏譽民, 丁明暉. 護士對患者安全文化的感知調查. 護理學雜志, 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, 陳曉榮, 陳海燕, 等. 醫院安全文化認知現狀調查及對策. 青海醫藥雜志, 2017, 47(8): 72-74.

1. 完善全科醫生培養鼓勵社會力量舉辦全科診所. 中國戰略新興產業, 2018(9): 15.
2. 中華人民共和國國家衛生健康委員會. 2018 年 1-11 月全國醫療服務情況. (2019-01-23)[2019-08-23]. http://www.nhc.gov.cn/mohwsbwstjxxzx/s7967/201901/57dec69d2c8c4e669864b067d2a1fb2e.shtml.
3. 中華人民共和國國家衛生健康委員會. 2018年11月底全國醫療衛生機構數. (2019-01-23)[2019-08-23]. http://www.nhc.gov.cn/mohwsbwstjxxzx/s7967/201901/94fcf9be64b84ccca2f94e3efead7965.shtml.
4. 陳秀英, 王若梅, 鐘玉蓮, 等. 門診護理不良事件原因分析與對策. 嶺南急診醫學雜志, 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. 患者安全文化的發展和運作. 中國醫院, 2005, 9(12): 7-8.
11. 李亞琴, 石永樂, 王凌穎, 等. 國內外醫療機構患者安全文化測評工具的研究進展. 中國護理管理, 2016, 16(8): 1102-1105.
12. 姜賀, 許樂. 曼徹斯特病人安全框架在安全文化研究中的應用. 護理研究, 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. 陳方蕾, 周立. 患者安全文化測評問卷的構建. 解放軍護理雜志, 2009, 26(1A): 1-4.
22. 郭霞. 中文修訂版安全態度調查問卷的初步研究. 太原: 山西醫科大學, 2009.
23. 許璧瑜, 張晉昕, 成守珍, 等. 醫療機構患者安全文化測評量表信度與效度研究. 中華護理雜志, 2010, 45(9): 840-842.
24. 徐娜, 張培莉, 王斌全. 中文版葛森醫院安全氛圍量表的信度、效度研究. 中國護理管理, 2013, 13(3): 22-25.
25. 李敏奇, 湯慧芹, 魏雪峰, 等. 我國公立醫院病人安全文化的現狀研究. 中國醫院管理, 2017, 37(1): 11-13.
26. 張靖婧, 焦明麗, 劉鶴, 等. 中文版醫院病人安全文化調查表條目的初步篩選. 中國醫院管理, 2015, 35(9): 40-43.
27. 羅敏, 謝惠蘭, 歐陽慶, 等. 中文版曼徹斯特病人安全框架的構建與測評. 現代臨床護理, 2015, 14(12): 1-6.
28. 姜賀, 許樂. 患者安全文化測評問卷的初步編制及信效度檢驗. 護理管理雜志, 2013, 13(6): 386-388.
29. 黃靜, 李春燕. 護理人員對患者安全認知、行為及培訓需求調查分析. 中國護理管理, 2011, 11(9): 71-74.
30. 沈貽萍. 不同學歷層次新進護理人員患者安全文化相關知識的認知現狀. 解放軍護理雜志, 2012, 29(10A): 23-25.
31. 李燕, 魏譽民, 丁明暉. 護士對患者安全文化的感知調查. 護理學雜志, 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, 陳曉榮, 陳海燕, 等. 醫院安全文化認知現狀調查及對策. 青海醫藥雜志, 2017, 47(8): 72-74.

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