基于结构方程模型的用药安全影响因素研究

发布时间：2018-10-12 06:56

【摘要】：目的通过分析用药安全的影响因素和发生机制,从而提高用药安全性,预防用药差错的发生。方法随机抽取三级、二级医院各6家,分析2010—2016年12家医院的423例用药差错事件发生的原因,同时结合个人访谈的研究方式,访谈用药差错事件发生的相关医护人员及用药安全管理部门领导共计126人,最终通过访谈及文献研究的方法确定了26个用药安全的影响因素。通过运用因子分析结合结构方程模型的方式,分析各个影响因素之间的相互作用及对用药安全的影响程度。结果通过结构方程模型分析可知:药品因素、员工素质、患者因素、社会因素、医院管理都是高度影响用药安全的主要因素。结论通过对关键指标的管理,提出科学、有效的防范措施。
[Abstract]:Objective to improve drug safety and prevent drug errors by analyzing the influencing factors and mechanism of drug safety. Methods A total of 423 cases of drug errors in 12 hospitals from 2010 to 2016 were randomly selected from 6 hospitals of the third class and 6 hospitals of the second class. The causes of the drug error events were analyzed, and the methods of personal interviews were used to analyze the causes of drug errors in 12 hospitals. A total of 126 medical and nursing staff and leaders of drug safety management department were interviewed for drug errors. Finally, 26 influencing factors of drug safety were determined by means of interviews and literature research. By means of factor analysis combined with structural equation model, the interaction of various factors and the degree of influence on drug safety were analyzed. Results through the structural equation model analysis, we can know that the main factors that affect the safety of drug use are drug factors, staff quality, patients' factors, social factors and hospital management. Conclusion through the management of key indicators, scientific and effective preventive measures are put forward.
【作者单位】：哈尔滨医科大学附属肿瘤医院;哈尔滨市卫生和计划生育委员会统计信息中心;哈尔滨医科大学附属第一医院;
【基金】：黑龙江省卫生计生委科研课题项目(2014-283)
【分类号】：R95

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