张巍,于夕荣.医疗机构辐射安全文化综合评价的实证研究[J].中华放射医学与防护杂志,2016,36(2):133-138
医疗机构辐射安全文化综合评价的实证研究
Empirical research on comprehensive evaluation system for evaluating the level of radiation safety culture in medical institutions
投稿时间:2015-04-27  
DOI:10.3760/cma.j.issn.0254-5098.2016.02.011
中文关键词:  医疗机构  辐射安全文化  综合评价  实证研究
英文关键词:Health institutions  Radiation safety culture  Comprehensive evaluation  Empirical research
基金项目:山东省软科学研究计划项目(2011RKGB3018)
作者单位E-mail
张巍 250014 济南, 山东省疾病预防控制中心辐射防护安全所 zhangweicdc@163.com 
于夕荣 250014 济南, 山东省疾病预防控制中心辐射防护安全所  
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中文摘要:
      目的 建立辐射安全文化评价模型,对各级医疗机构的辐射安全文化和辐射安全管理现况进行实证研究,提出改进建议。 方法 通过专家咨询法和综合评分法构建医疗机构辐射安全文化综合评价模型,采取实地考察、匿名问卷、现场座谈等形式,对山东省26家医院的辐射安全文化现状进行了调研和分析。 结果 综合评价模型及调查问卷设计具有较好的信度,各评价指标的克朗巴赫α系数达到或超过"较好(0.6~0.8)"的认定标准;其中有16家医院(61.54%)得分低于75分,处于辐射安全文化发展的初级阶段;9家医院(34.62%)得分位于75~95分区间,处于辐射安全文化发展的中级阶段;仅有1家医院的评分为95.48(3.85%)分,处于辐射安全文化自律完善的高级阶段。 结论 目前,医疗机构的辐射安全文化水平整体较低。研究确立的辐射安全文化综合评价模型具有一定的可行性,可以为加强辐射安全管理提供借鉴和参考。
英文摘要:
      Objective To establish a safety culture evaluation model to conduct empirical research with regard to the assessment of both the radiation safety culture and management at different levels of health institutions. Methods Delphi method is used to develop a model to define the effectiveness and operational practice of safety culture system in hospitals. Results The research had achieved good reliability assessment, with Cronbach coefficient α of all indicators higher than 0.60. There were 16 hospitals with scores less than 75 (61.54%), at the primary stage of radiation safety culture, and 9 hospitals among 75-95 (34.62%), at the middle stage, only 1 hospital with score of 95.48 (3.85%), at the high grade stage. Conclusions At present, the level of radiation safety culture in medical institutions is lower as a whole. The evaluation model established in the present research is practicable to some extent and can provide reference for strengthening radiation safety management.
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