关键词: 患者安全, 安全文化, 基于单元的综合安全项目, 用药安全

Abstract:

Objective To investigate the effects of Comprehensive Unit-Based Safety Program（CUSP） in oral administration safety management in cardiology nurses.Methods The convenience sampling was used to select 34 nurses from 2 cardiology wards in a tertiary hospital. The safety management model of oral administration based on CUSP was adopted. 34 nurses were investigated by the Hospital Survey on Patient Safety Culture（HSOPS）,Chinese Safety Attitudes Questionnaire（C-SAQ）,Oral Medicine Safety Questionnaire of Knowledge,Attitude and Practice for Nurses,Theoretical Examination of Oral Administration in Department of Cardiology before and 6 months after the intervention.Results After the intervention,consent rates of items reflecting the nurses’ perception of patient safety culture were improved compared to those before（P<0.05）. The scores of teamwork,safety climate,management perception,job satisfaction,working condition dimensions in nurses in the unit and the total score of C-SAQ were higher than those before the intervention（P<0.05）. The scores of medication safety of knowledge,attitude and practice of nurses and the total score of nurse drug safety were higher than those before the intervention（P<0.05）. The score of theoretical examination after the intervention was higher than that before the intervention（P<0.05）.Conclusion The safety management of oral administration based on CUSP can effectively promote the establishment of safety culture in units,and improve the level of oral administration safety of nurses.

Key words: Patient Safety, Safety Culture, Comprehensive Unit-Based Safety Program, Medication Safety