基于SEM的医院安全脆弱性研究
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摘要
为准确衡量医院的安全水平,分析医院安全脆弱性影响因素及其关系,首先提炼出基于4个指标,26个因子的医院安全脆弱性概念模型;然后选取10家三甲医院的200名中高层管理者发放问卷,采用SPSS21. 0软件对模型进行影响因子验证和修正;最后运用SEM方法,得到指标对医院安全脆弱性的影响路径系数。研究结果表明:人员安全类对医院安全脆弱性影响最大;其次是技术安全类、自然灾害类的脆弱性;另外,4大类脆弱性因素具有直接或间接的影响;医院管理者可以通过加强人员安全培训和管理,提升技术安全措施,预防自然灾害,减少医院安全事故的发生。
In order to accurately measure the safety level of hospitals,the influencing factors of the vulnerability of hospital safety and their relationship were analyzed. Firstly,a conceptual model on the vulnerability of hospital safety based on 4 indexes and 26 factors was extracted. Secondly,200 middle and senior managers from 10 top three hospitals were selected to issue the questionnaires,and the SPSS21. 0 software was used to verify and correct the influencing factors of the model. Finally,the influencing path coefficient of the vulnerability of hospital safety was obtained by using the SEM method. The results showed that the category of personnel safety had the greatest influence on the vulnerability of hospital safety,followed by the categories of technical safety and natural disasters. Four categories of vulnerability factors had the direct or indirect influence. The administrators of hospitals can reduce the safety accidents of hospitals by strengthening the personnel safety training and management,improving the technical safety measures,and preventing the natural disasters.
In order to accurately measure the safety level of hospitals,the influencing factors of the vulnerability of hospital safety and their relationship were analyzed. Firstly,a conceptual model on the vulnerability of hospital safety based on 4 indexes and 26 factors was extracted. Secondly,200 middle and senior managers from 10 top three hospitals were selected to issue the questionnaires,and the SPSS21. 0 software was used to verify and correct the influencing factors of the model. Finally,the influencing path coefficient of the vulnerability of hospital safety was obtained by using the SEM method. The results showed that the category of personnel safety had the greatest influence on the vulnerability of hospital safety,followed by the categories of technical safety and natural disasters. Four categories of vulnerability factors had the direct or indirect influence. The administrators of hospitals can reduce the safety accidents of hospitals by strengthening the personnel safety training and management,improving the technical safety measures,and preventing the natural disasters.
引文
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[13]张敏,徐李卉,刘拓,等.我国医护人员职业卫生防护体系研究[J].中国安全生产科学技术,2018,14(5):51-60.ZHANG Min,XU Lihui,LIU Tuo,et al. Research on evaluation and analysis for safety management system based on structural equation model[J]. Journal of Safety Science and Technology,2018,14(5):51-60.
[14]石春兰,张敏,申翠华.某大型综合医院护理人员针刺及其他锐器损伤状况调查[J].中国安全生产科学技术,2011,7(12):168-174.SHI Chunlan,ZHANG Min,SHEN Cuihua. Study on status of neelde-stick and other sharps injuries among hospital-based nurses in a general hospital[J]. Journal of Safety Science and Technology,2011,7(12):168-174.
[15]张慧,黄建始,段杰.医院突发公共卫生事件应对能力综合评价体系[J].中国公共卫生,2007(12):1505-1508.ZHANG Hui,Huang Jianshi,Duan Jie. Comprehensive indicator system for evaluating hospital’s capacities in public health emerge prepardness[J]. Chinese Journal of Public Health,2007(12):1505-1508.
[2]姚瑶,刘瑞林,李妙,等.灾害脆弱性分析在医院应急管理中的应用研究[J].中国医院管理,2013,33(11):36-39.YAO Yao,LI Ruilin,Li Miao,et al. Application research on hospital emergency management based on the hazard vulnerability[J].Chinese Hospital Management,2013,33(11):36-39.
[3]何思忠,李琦,赵顺.灾害医学视角下的中部地区三甲医院脆弱性评估—以芜湖市第二人民医院为例[J].中国医院管理,2013,33(4):27-29.HE Sizong,LI Qi,ZHAO Shun. Vulnerability assessment of disaster medicine in the Grade 3 Hospital from the perspective of mid area taking Wuhu Second People Hospital as an example[J]. Chinese Hospital Management,2013,33(4):27-29.
[4]成沛玉,鄢碧玙,刘群友,等.灾害医学视角下三级医院灾害脆弱性分析[J].中国医院,2014,18(4):23-24.CHENG Peiyu,YAN Biyu,LIU Qunyou,et al. Tertiary hosptial hazard vulnerability analysis in Disaster medical perspective[J]. Chinese Hospitals,2014,18(4):23-24.
[5]钟渠,郑桃晓,蒋涛,等.灾害脆弱性研究在医院应急管理中的应用[J].成都医学院学报,2014,9(5):621-624.ZHONG Qu,ZHENG Taoxiao,JIANG Tao,et al. The application of the hazard vulnerability analysis into the hospital emergency[J].Journal of Chengdu Medical College,2014,9(5):621-624.
[6] Gesine Dannenmaier. KTQ-Manual catalog 2009[M]. Koellen Druck+Vertrag Gm-BH,2009:9-17.
[7]钟茂华,田向亮,刘畅,等.基于结构方程模型的地铁乘客安全行为影响因素分析[J].中国安全生产科学技术,2018,14(1):5-11.ZHONG Maohua,TIAN Xiangliang,LIU Chang,et al. Analysis on influence factors of safety behavior for metro passengers based on structural equation model[J]. Journal of Safety Science and Technology,2018,14(1):5-11.
[8]张仕廉,刘曼,陈香磊.基于SEM的建筑工人安全知识分享影响因素分析[J].中国安全科学学报,2017,27(5):152-157.ZHANG Shilian,LIU Man,CHEN Xianglei. SEM-based research on construction workers safety knowledge sharing mechanism[J]. China Safety Science Journal,2017,27(5):152-157.
[9]王丹,宫晶晶.领导行为、安全文化与矿工安全行为的结构方程模型[J].中国安全生产科学技术,2016,12(9):188-192.WANG Dan,GONG Jingjing. SEM of leadership behavior,safety culuture and safety behavior of miners[J]. Journal of Safety Science and Technology,2016,12(9):188-192.
[10]陈伟珂,王炳淳.基于SEM的地铁施工不安全行为与认知关系的研究[J].中国安全生产科学技术,2015,11(3):154-160.CHEG Weike,WANG Bingchun. Study on relationship between unsafe behaviors and cognition in subway construction based on SEM[J]. Journal of Safety Science and Technology,2015,11(3):154-160.
[11]郑霞忠,望运龙,陈述,等.水电工程高危作业风险影响因素的SEM模型[J].中国安全生产科学技术,2014,10(8):119-124.ZHENG Xiazhong,WANG Yunglong,CHEN Shu,et al. SEM model of hydropower high-risk operation on affecting factoes[J]. Journal of Safety Science and Technology,2014,10(8):119-124.
[12]佟瑞鹏,张浩.基于结构方程模型的安全管理体系评估与实证分析[J].中国安全生产科学技术,2017,13(5):157-162.TONG Ruipeng,ZHANG Hao. Research on evaluation and analysis for safety management system based on structural equation model[J]. Journal of Safety Science and Technology,2017,13(5):157-162.
[13]张敏,徐李卉,刘拓,等.我国医护人员职业卫生防护体系研究[J].中国安全生产科学技术,2018,14(5):51-60.ZHANG Min,XU Lihui,LIU Tuo,et al. Research on evaluation and analysis for safety management system based on structural equation model[J]. Journal of Safety Science and Technology,2018,14(5):51-60.
[14]石春兰,张敏,申翠华.某大型综合医院护理人员针刺及其他锐器损伤状况调查[J].中国安全生产科学技术,2011,7(12):168-174.SHI Chunlan,ZHANG Min,SHEN Cuihua. Study on status of neelde-stick and other sharps injuries among hospital-based nurses in a general hospital[J]. Journal of Safety Science and Technology,2011,7(12):168-174.
[15]张慧,黄建始,段杰.医院突发公共卫生事件应对能力综合评价体系[J].中国公共卫生,2007(12):1505-1508.ZHANG Hui,Huang Jianshi,Duan Jie. Comprehensive indicator system for evaluating hospital’s capacities in public health emerge prepardness[J]. Chinese Journal of Public Health,2007(12):1505-1508.