印度尼西亚医院不良事件报告的决定因素和挑战:一种混合方法研究
Putri Citra Cinta Asyura Nasution1,2, Dumilah Ayuningtyas1, Adang Bachtiar1
1Faculty of Public Health, Universitas Indonesia, Depok.
Journal of patient safety
|November 18, 2025
概括
印尼医院的不良事件报告与各种委员会和质量控制措施有关. 主要挑战包括缺乏报告意愿,需要系统改进和积极增强.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 医疗保健服务研究 医疗服务研究
背景情况:
- 分析印尼医院中不良事件报告的因素和挑战.
- 通过有效的事件报告系统,专注于提高患者安全.
研究的目的:
- 确定与印尼医院不良事件报告相关的因素.
- 探索阻碍不良事件报告的挑战.
- 为改善报告系统提供建议.
主要方法:
- 混合方法研究,结合定量 (卫生设施研究2019年数据, χ2测试,后勤回归) 和定性 (半结构面试,专题分析) 方法.
- 定量分析涉及532家印度尼西亚医院.
- 从2个省份的6家医院收集的定性数据,通过三角测量验证.
主要成果:
- 在不良事件报告与感染控制,质量和患者安全委员会,内部审计,服务评估,质量控制,认证状态,区域类别和病床数量之间发现了积极的关联.
- 实施认证标准,委员会角色和审计活动提高质量和患者安全,鼓励事件报告.
- 报告的挑战源于个人和组织因素.
结论:
- 关键委员会应领导对不良事件报告和质量控制倡议的监测.
- 通过政府支持加强医院认证对于改善报告至关重要.
- 克服不愿报告的主要挑战需要用户友好的系统,消除负面看法,并提供赞赏.
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