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

摘要：

目的 评价基于单元的综合安全项目对心内科护士口服给药安全管理的干预效果。方法 便利选取某三级甲等医院2个心内科病区的34名护士作为研究对象,采用基于单元的综合安全项目的口服给药安全管理模式进行干预,于干预前和干预后6个月采用医院安全文化调查问卷、中文版安全态度问卷、护士口服给药安全知信行水平调查表、心内科口服药物理论考核对护士进行测评。结果 干预后患者安全文化调查问卷中反映护士对患者安全文化感知条目的同意率较前改善（P<0.05）;干预后单元内护士在团队协作、安全氛围、管理感知、工作满意度、工作条件各维度得分及中文版安全态度问卷总得分高于干预前,差异有统计学意义（P<0.05）;干预后护士安全给药知、信、行水平各维度得分及安全给药水平总得分高于干预前,差异有统计学意义（P<0.05）;干预后的理论考核得分高于干预前,差异有统计学意义（P<0.05）。结论 采用基于单元的综合安全项目的口服给药安全管理模式能够促进单元内安全文化的建立,提高单元内护士口服给药安全水平。

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