关键词: 医护人员, 医疗安全, 不良事件, 报告, 意愿

Abstract: Objective To explore the current situation and influencing factors of medical staff's willingness to report adverse medical safety events (hereinafter referred to as adverse events) in Changzhi City. Methods From June to September 2023, medical staff in 4 hospitals under the jurisdiction of Changzhi City were included as investigation objects. General data, willingness to report adverse events and influencing factors of medical staff were collected by self-made questionnaire, and the influencing factors of willingness to report adverse events were analyzed by univariate analysis and multiple linear regression method. Results A total of 1 124 medical staff were investigated in this study, and the score of willingness to report adverse events was (54.88±8.17). Multiple linear regression analysis showed that tertiary hospitals (β'=0.086), age (β'=0.226), professional title (medium-grade β'=0.199, senior β'=0.228), working years (β'=0.103), were not afraid of criticism and punishment (β'=0.059), believed that the impact was small and could be remedied (β'=-0.080), the hospital had a clear definition of the scope of adverse events (β'=0.077), the hospital had a clear reporting procedure for adverse events (β'=0.075), there would be feedback and improvement measures after reporting (β'=0.069), and the effective publicity and training of adverse event reporting (β'=0.080) were the influencing factors of medical staff's willingness to report adverse events (P<0.05 or P<0.01). Conclusions The willingness of medical staff to report adverse events in Changzhi City is low, which is affected by many factors, such as hospital grade, age, professional title, working years, personal cognition, and management mechanism. Targeted measures can be taken to further improve the medical staff's willingness to report adverse events from the aspects of improving the management mechanism, improving the medical staff's cognitive level of adverse event reporting, and creating a good cultural atmosphere of safety management.

Key words: Medical staff, Patient safty, Adverse events, Reports, Willingness