实施世界卫生组织行为定评级尺度和检查清单的使用:对LMICs有希望的结果
Syed Yousaf Khalid1, Qazi Muhammad Sibghatullah2, Muhammad Haroon Abdullah3
1Department of Surgery, Letterkenny University Hospital, Letterkenny, Ireland.
Frontiers in medicine
|August 9, 2023
概括
世卫组织的外科安全检查清单提高了手术室的安全性,超过50%的员工在接受培训后始终使用它. 检查清单的使用与关键安全实践相关,而不是员工经验或医院规模.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 手术手术手术手术手术手术手术手术
背景情况:
- 世卫组织的外科安全检查清单对于降低手术室患者风险至关重要.
- 了解人口统计因素对检查清单使用和员工态度的影响对于有效实施至关重要.
- 这项研究的重点是巴基斯坦一家三级医院的手术室工作人员.
研究的目的:
- 评估人口因素对世卫组织外科安全检查清单行为定评级的影响.
- 调查手术室工作人员对检查清单管理的态度.
- 了解手术室人员如何在巴基斯坦的第三级护理环境中使用检查清单.
主要方法:
- 这是一项混合方法研究,结合了定量方法 (WHOBARS评估) 和定性方法 (工作人员采访) 的方法.
- 培训干预在8周内通过讲座,视频,小组讨论和模拟进行.
- 操作室人员和经验丰富的外科医生观察员使用世界卫生组织行为定评级表 (WHOBARS) 进行评估.
主要成果:
- 50.81%的受访者表示总是使用检查清单,30.81%的受访者部分使用.
- 检查清单的使用与特定的安全行为有关,例如仪器计数和患者识别.
- 人口统计因素 (实践多年,医院规模,外科手术量) 并没有预测检查清单的使用情况.
结论:
- 一个多学科的培训课程导致超过50%的参与者一致使用检查清单.
- 检查清单实施的成功与工作人员的经验或医院规模无关.
- 如果可重复,在低收入和中等收入国家广泛采用是可行的.
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