将安全行动反和参与 (SAFE) 循环与已建立的事件报告系统进行比较:实用集群随机对照试验的研究协议
Carl T Berdahl1, Andrew J Henreid1,2, Tara N Cohen1
1Cedars-Sinai Medical Center, 8700 Beverly Boulevard, Los Angeles, CA, 90048, USA.
Contemporary clinical trials communications
|August 4, 2023
概括
安全行动反和参与 (SAFE) 循环干预通过加强事件报告来提高医院患者的安全性. 这种系统鼓励护士参与,导致更多的信息报告和更好的患者安全结果.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者安全研究 患者安全研究
- 护理实践 护理实践
背景情况:
- 目前的医院事件报告系统是不理想的,阻碍了患者安全的改善.
- 员工的局限性包括不确定要报告什么,害怕报复,以及对行政反应的怀疑.
- 有效的事件报告对于识别和减轻患者安全风险至关重要.
研究的目的:
- 评估安全行动反和参与 (SAFE) 循环,这是一种旨在增强医院事件报告系统的干预措施.
- 将事件报告转化为提高患者安全的有效工具,重点关注药物错误.
- 评估SAFE Loop对报告实践,护士态度和患者安全事件率的影响.
主要方法:
- 一个集群随机对照试验,涉及一家大型医院的20个护理单位.
- 该SAFE Loop干预措施包括护士投入,专注学习,增强报告培训,提示,数据集成和反.
- 测量结果包括事件报告率,报告内容,护士态度和高优先级患者安全事件.
主要成果:
- 该SAFE循环旨在增加护士在报告中的参与.
- 它旨在通过详细说明有助于事件的因素来生成更具信息性的事件报告.
- 该干预旨在减少高优先级患者安全事件的发生.
结论:
- 该SAFE环干预有潜力显著提高患者的安全.
- 它可以促进更多的护士参与,并产生更多可操作的事件报告.
- 有效实施可能会导致更好的问题理解和基于系统的解决方案的设计,最终降低不良事件.
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