检索历史 清除

目的:分析医疗机构医务人员和患者对安全文化的认知，为推进医疗机构安全文化发展提供参考。方法:检索PubMed和Embase等英文数据库以及中国知网和万方等中文数据，搜集医疗机构医务人员和患者对安全文化认知的质性研究相关文献，检索时限为建库至2023年7月15日。根据文献纳入排除标准，采用澳大利亚JBI循证卫生保健中心质性研究质量评价标准对文献进行筛选，采用汇集性Meta整合方法对研究结果进行整合分析。结果:本研究共纳入13篇文献，提炼出30个研究结果，整合归纳为个人、组织和人际3个层面。其中，个人层面包括责任与能力、个人因素和患者因素3个类别，组织层面包括患者安全为首要原则、管理层面、规章与流程、工作环境和安全文化氛围5个类别，人际层面包括合作和沟通2个类别。结论:安全文化发展建设受多种因素影响，医疗机构应重视医务人员核心能力建设，倡导患者参与安全文化建设；积极推动医疗机构安全文化发展，完善不良事件管理制度；提升团队协作效率，规范沟通交流模式，提高医疗安全质量。

Objective:To analyze qualitative research on safety culture cognition of medical staff and patients in medical institutions, for references to promote the development of safety culture in medical institutions.Methods:This study searched English databases such as PubMed and Embase, as well as Chinese databases such as CNKI and Wanfang, to collect qualitative research related literature on the safety culture cognition of medical staff and patients in medical institutions. The search period was from database establishment to July 15, 2023. The inclusion and exclusion criteria for literature, and the Australian JBI critical appraisal tool for qualitative research were used to screen the literature, and a meta-synthesis method was used to integrate and analyze the research results.Results:A total of 13 articles were included, and 30 research results were extracted and integrated into three levels: individual, organizational, and interpersonal. Among them, the individual level included three categories: responsibility and ability, personal factors, and patient factors. The organizational level included five categories: patient safety as the primary principle, management level, regulations and processes, work environment, and safety culture atmosphere. The interpersonal level included two categories: cooperation and communication.Conclusions:The development and construction of safety culture were influenced by various factors. Medical institutions should attach importance to the core competency building of medical personnel and advocate for patient participation in safety culture construction; Promote the development of safety culture in medical institutions and improve the management system for adverse events; Improve team collaboration efficiency, standardize communication and exchange modes, and improve the quality of medical safety.