From "institutional suspension" to "cognitive internalization": a study on the path to enhancing the execution of safety management systems in medical institutions from the perspective of organizational behavior
从“制度悬浮”到“认知内化”：组织行为学视域下医疗机构安全管理制度执行力提升路径研究

摘要

目的 探讨基于组织行为学理论的“技术-行为-文化”综合干预策略对提升医疗机构安全断电制度执行力的影响与效果。方法 采用类实验设计，以某区域4家医疗机构（2家二级医院、2家社区卫生服务中心）的16个科室作为观察组，实施综合干预；同期以该区域专科防治机构的16个科室作为外部对照组，维持传统管理模式。比较两组在干预期间（共33个工作日）的安全断电打卡率。结果 干预前，两组打卡率基线无显著差异（观察组84.82%，对照组85.71%，P＞0.05）。干预期与巩固期内，观察组打卡率显著提升至96.09%，并进一步稳定在98.75%，而对照组始终维持在85%左右，组间差异具有统计学意义（P＜0.001）。结论 基于组织行为学的综合干预策略能有效将安全断电管理从“制度悬浮”状态转化为员工的“认知内化”行为，显著提升制度执行力，为医疗机构安全管理提供了可复制的实践路径。

Abstract

Objective To explore the influence and effect of the "technology-behavior-culture" comprehensive intervention strategy based on the theory of organizational behavior on enhancing the implementation ability of the safety power-off system in medical institutions.
Methods A quasi-experimental design was adopted. Sixteen departments from four medical institutions (two secondary hospitals and two community health service centers) in a certain area were selected as the observation group to implement comprehensive intervention. During the same period, 16 departments of specialized prevention and treatment institutions in this area were taken as the external control group to maintain the traditional management model. Compare the safe power-off check-in rates of the two groups during the intervention period (a total of 33 working days).
Results Before the intervention, there was no significant difference in the baseline check-in rate between the two groups (the observation group was 84.82%, and the control group was 85.71%, P>0.05). During the intervention period and consolidation period, the check-in rate of the observation group significantly increased to 96.09% and further stabilized at 98.75%, while that of the control group remained at around 85%. The difference between the groups was statistically significant (P<0.001).
Conclusion   The comprehensive intervention strategy based on organizational behavior can effectively transform the "system suspension" state of safety power-off management into the "cognitive internalization" behavior of employees, significantly enhancing the system execution ability, and providing a replicable practical path for the safety management of medical institutions.