能见度如何减少社区医院急诊室的安全问题
Arsalan Gharaveis1, D Kirk Hamilton2, Debajyoti Pati3
1Arcadis Inc. (CRTKL), Los Angeles, CA, USA.
HERD
|July 31, 2023
概括
提高紧急部门 (ED) 的可见性可以降低安全风险. 护士和医生报告说,在可见度提高的ED中感觉更安全,这表明设计改进是关键.
科学领域:
- 医疗保健设计 医疗保健设计
- 安全管理 安全管理 安全管理
- 临床实践 临床实践
背景情况:
- 应急部门 (EDs) 面临着重大的全球安全问题.
- 可见性是一个已知的设计因素,影响医疗保健环境中的行为.
- 有限的研究存在于可见性在减少ED安全风险的作用使用基于证据的设计.
研究的目的:
- 探索 ED 中可见性和感知安全风险之间的关系.
- 研究可见性如何影响临床工作人员的安全感.
- 提供设计策略,以尽量减少ED中的安全问题.
主要方法:
- 在五个ED中进行的定性研究.
- 与17名临床工作人员 (护士和医生) 进行半结构面试.
- 48小时的实地观测与基于自然主义调查的编码.
主要成果:
- 调查结果表明,提高可见性与降低安全风险相关.
- 护士和医生报告说,在可见度更高的ED中,他们感觉更安全.
- 可见性是ED环境感知安全的一个关键因素.
结论:
- 提高ED的可见性可以有效地减少安全风险.
- 设计策略应优先考虑可见性,以提高员工安全.
- 临床工作人员可以通过考虑日常实践中的可见性来主动提高团队安全性.
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