在一个关键领域对安全文化的看法
R M Peradejordi-Torres1, J Valls-Matarín1
1Unidad de Cuidados Intensivos del Hospital Universitari Mútua Terrassa, Barcelona, Spain.
Enfermeria intensiva
|May 28, 2023
概括
在重症监护区的患者安全文化是适度高,但轮换工作人员认为它较低. 主要的弱点包括安全感知,人员和管理支持,需要有针对性的改进策略.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 关键护理医学 关键护理医学
背景情况:
- 关键护理区域 (CCA) 是复杂的医院环境,干预率高,增加了患者安全事件的风险.
- 了解医疗保健团队对患者安全文化的看法对于识别和解决风险至关重要.
研究的目的:
- 评估医疗保健专业人员在重症监护环境中对患者安全文化的看法.
- 确定患者安全文化中的特定优势和弱点.
主要方法:
- 在一个多功能重症监护区进行了一项横截面描述性研究.
- 对118名医疗保健工作者进行了验证的患者安全文化医院调查问卷.
- 数据分析包括描述性统计和双变量测试 (chi-squared,t-Student,ANOVA),显著性设置为p ≤0.05.
主要成果:
- 总体患者安全感知得分为10分之7.1,轮换工作人员报告得分较低 (6.9) 比非轮换工作人员 (7.8).
- 只有54.3%的员工熟悉事件报告程序,并且观察到的通知率很低.
- 没有任何方面被确定为优势;弱点包括安全感知 (57.7%),人员 (81.7%) 和管理支持 (69.9%).
结论:
- 在重症监护区,患者对安全的看法是温和的,在工作人员类型之间存在显著的差异.
- 工作人员对事件报告程序和实际报告率的知识存在重大差距.
- 解决安全感知,人员和管理支持方面的弱点对于增强患者安全文化至关重要.
相关概念视频
Obedience
32.9K
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,...
32.9K
Types of Reports II: Incident or Occurrence Report
895
An Incident or Occurrence Report in a healthcare setting is a crucial document used to record any unexpected occurrence that may or may not have affected a patient, employee, or visitor. Such reports are critical to improving patient safety and include all details leading up to and including the event.
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
895
Survey Safety
60
Surveying near highways, rough terrain, or power lines involves significant risks. Working along highways is particularly dangerous and requires the use of warning signs and flagmen. It is safest to avoid working directly on roads and use offsets whenever possible. When highway work is unavoidable, it must follow all safety guidelines. Surveyors should wear bright clothing, such as orange reflective vests, to ensure visibility to motorists, coworkers, and hunters. In construction zones, wearing...
60
Guidelines and Strategies for Safe Computer Charting
842
The guidelines and strategies provided by the American Nurses Association (ANA) and the Canadian Nurses Association (CNA) offer essential principles for ensuring safe and secure computer charting systems in healthcare settings. Let's break down each recommendation:
Maintain Confidentiality and Security:
Maintain Confidentiality and Security:
842
Perception
517
Perception is a fundamental psychological process that enables individuals to organize, interpret, and consciously experience sensory information. This process is crucial for understanding and interacting with the world around us. It includes both bottom-up and top-down processing, each playing a distinct role in how we perceive our environment.
Bottom-up processing begins at the sensory level, where receptors detect external environmental stimuli. These could include the tactile sensation of...
Bottom-up processing begins at the sensory level, where receptors detect external environmental stimuli. These could include the tactile sensation of...
517
Healthcare Associated Infections II: Preventive Measures
2.7K
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...
2.7K


