住院病人就醫安全認知之探討

The purpose of this study is to explore the cognition of inpatients in medical safety. The result can be the reference for inpatients to attend medical safety activity in the future. This study adopted a cross-sectional and multiple research design., Based on the results of the classification of the incident events taking place last year and discussion with clinical nursing experts, the key items of inpatients in medical safety included medication, falling, cold and heat, transfusion, infection, examination, and surgery. These six key items served as a basis to design questionnaire. They were also reviewed by eight clinical experts ( four from medical and four from nursing ) to perform the validity test and select CVI>.75 that total 6 categories and 79 items. Twenty eight inpatients participated in the pilot study. The internal consistent test on reliability, Cronbach's Alpha was .93. In the present study, the participants were literate. 671 questionnaires were distributed and 615 were valid for an effective return ratio of 91.65%. In terms of the result of this study, the score of the cognition of inpatients in medical safety was 74.1, infection 91.0, falling 91.0, medication 75.2, examination and surgery 73.5, transfusion 57.1, and cold and heat 57.0. Based on the results of this study, it is recommended to enhance the cognition of inpatients in medical safety in the future. It is important to encourage patients and families to attend safety activity to improve medical safety.