Evaluation and countermeasure study on hospital safety culture based on statistic quality control

Abstract

Objective To measure and evaluate the construction of hospital safety culture, analyze the present situation and problems of hospital safety culture construction, and put forward strategy of continuous improvement. Methods Based A tertiary hospital in northern Jiangsu province was chosen for the survey.Sampling questionnaire survey was made to 400 staff of the hospital, including directors/vice directors of clinical departments, chief nurses and logistic/administrative staff(10% of the total staff). These people were subject to a questionnaire survey of Hospital Safety Culture Measurement regarding hospital safety culture status and satisfaction.Likert 5-point scale and assign points, statistical inference, and quality control chart method were used, to analyze the organization structure, medical quality and medical safety, comprehensive evaluation dimensions of hospital safety culture, as well as 31 items involved. Results The agreement/satisfaction scoring of the general evaluation dimension of hospital safety culture was 67.10% as in agreement and 23.20% as high agreement; the scoring of the organization structure(management capability of department managers and medical worker staffing)and medical safety(failure to report adverse events and discussion of patient privacy)for hospital safety culture development was low(3.416 7 and 3.500 9 respectively). This calls for improvement. Conclusions The hospital should perform continuous monitoring and improvement, and strengthen the organizational work of safety culture hospital wide(especially department managers). It should also enhance the management of medical quality(ensuring drug supply, and service management awareness of logistic departments), and pay attention to medical safety monitoring and management for higher responsiveness of the hospital. Key words: Hospital management; Safety management; Culture; Evaluation; Quality control