改善当地患者的安全:改变临床医生的行为
D J Cook1, V M Montori, J P McMullin
1Department of Medicine, McMaster University, Hamilton, Ontario, Canada. debcook@mcmaster.ca
Lancet (London, England)
|April 15, 2004
概括
医疗保健中的遗漏错误带来了重大风险. 优先考虑预防性护理干预措施和实施五种行为改变策略,可以提高患者的安全性和改善健康结果.
科学领域:
- 医疗保健安全 医疗保健安全
- 临床干预 临床干预
- 患者的治疗结果.
背景情况:
- 医院安全倡议应针对具有高影响力的医疗保健干预措施.
- 由于不适当或遗漏的护理,可能造成重大伤害.
- 遗漏错误代表了一个关键的,但往往被忽视的安全问题.
研究的目的:
- 识别错误或遗漏作为医疗保健中的一个关键安全优先事项.
- 通过改变行为来提议改善患者安全的框架.
- 专注于预防性医疗保健干预措施.
主要方法:
- 描述了改善临床医生行为的五步过程.
- 环境扫描以了解当前的做法.
- 对行为进行有针对性的分析 (为什么,什么,什么时候,在哪里,谁).
- 采用有效的行为改变策略.
- 协同发挥作用的干预措施,以获得最大的影响.
主要成果:
- 一种结构化,五步骤的方法来提高患者的安全性.
- 专注于改变与预防性护理相关的临床医生行为.
- 通过解决遗漏问题,有可能大幅改善健康结果.
结论:
- 预防性护理中的遗漏错误要求立即关注安全.
- 一个系统的,以行为改变为重点的策略可以提高患者的安全.
- 实施这五个步骤可以导致更安全的医疗保健服务.
相关概念视频
Obedience
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation, obedience...
Healthcare Associated Infections II: Preventive Measures
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Ethical Standards II
Ethical standards are the backbone of nursing practice, guiding nurses as they interact with patients, families, and colleagues. These standards are crucial for providing safe, empathetic care centered on the patient's needs.
Nurses are entrusted with upholding various ethical principles and standards. Nurses forge solid therapeutic relationships using trust, empathy, autonomy, confidentiality, and professional competence.
Confidentiality is crucial, embodying respect for individual privacy and...
Nurses are entrusted with upholding various ethical principles and standards. Nurses forge solid therapeutic relationships using trust, empathy, autonomy, confidentiality, and professional competence.
Confidentiality is crucial, embodying respect for individual privacy and...
Ethical Issues
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
Ethical Dilemmas II
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
Nurses' Legal Responsibilities II
Establishing a secure, collaborative nurse-patient relationship is crucial for delivering high-quality care. This relationship, founded on trust, respect, and honesty, enhances the patient's comfort and willingness to share vital health information. For example, a nurse who listens actively and without judgment provides clear information about health conditions and treatment options and respects patient decisions, which builds a trusting relationship.
Communication between nurses and patients...
Communication between nurses and patients...


