Development of psychological safety scale for patients and families as promoting factors of a patient and family engagement in medical safety.

2023 Fiscal Year Final Research Report

• Project/Area Number: 19K24253
• Research Category: Grant-in-Aid for Research Activity Start-up
• Allocation Type: Multi-year Fund
• Review Section: 0908:Society medicine, nursing, and related fields
• Research Institution: University of Yamanashi
• Principal Investigator: Kojin Hiroyuki 山梨大学, 大学院総合研究部, 教授 (40840509)
• Project Period (FY): 2019-08-30 – 2024-03-31
• Keywords: 心理的安全性 / チームワーク / 患者参画 / 患者安全 / 信頼性 / 妥当性

Outline of Final Research Achievements

Patient safety is a global priority, and promoting patient engagement is one of the seven strategic goals of the World Health Organization's initiative to maximize the reduction of preventable harm from unsafe care on a global scale. To achieve patient engagement, it is important for patients and their families to play a role as members of the healthcare team, and an essential element is psychological safety. In this study, I focused on the psychological safety of patients and their families in the healthcare team, developed a questionnaire, tested its reliability and validity, and developed a four-factor, 22-item scale. It was found that patients themselves recognized errors and problems during their hospitalization and hospital visits 5.8% of the time and preventable errors 56.7% of the time.

Free Research Field

医療安全

Academic Significance and Societal Importance of the Research Achievements

医療チームの心理的安全性が、これまで医療従事者のメンバーを中心に考えられてきたところ、本研究では、患者や家族をチームの一員と位置付けて、患者や家族の心理的安全性の測定尺度を開発した。このことは、患者安全の推進や向上のために不可欠である患者参加を医療チーム内で実装していくために役立つことが期待され、これまでなかった新たな尺度の開発である点で学術的意義が認められると考えられる。