关键词: 患者安全, 医疗质量改进, 医学教育, 职业倦怠

Abstract: Objective To investigate the current situation of improving patient safety and healthcare quality in a tertiary hospital and the understanding of healthcare providers and medical students. Methods A total of 526 valid questionnaires were collected from clinicians, nurses, residents from Peking Union Medical College Hospital(PUMCH) and medical students of Peking Union Medical College(PUMC). Results In the past year, there were 8.2% and 58.8% of the respondents who had experienced medical errors and found potential risks in the clinical process. More than half of respondent's team had reported adverse events, and most of them (75.3%) followed the right way to report. Most people believed hospital authority encouraged reporting medical adverse events, while some of them still worried about potential blame and punishment stemmed from reporting. The results also showed that 88.0% supported development of special curriculum in this field. Some of them had experiences that may have impacts on patient safety in transfer-ring(42.6%)and handover (15.4%), and the majority of people agreed that occupational burnouthas negative impact to patient safety. Almost all the investigation participnts-complained that their emotions and work would be negatively affected if there was a medical error, while 44.5% said that the error also had a positive impact. Conclusions Most of the respondents are relatively satisfied with the current measures of patient safety and quality improvement in PUMCH, but they are still worried about the negative impact on the individuals after the adverse events are reported.

Key words: patient safety, quality improvement, medical education, job burnout