通过描述医疗保健专业人员之间互动期间的任务中断来提高护理安全:一项观察性研究
Delphine Teigné1,2, Lucie Cazet1, Gabriel Birgand2,3
1Structure Régionale d'Appui (SRA) QualiREL Santé, Hôpital Saint Jacques, 85 rue Saint-Jacques, Nantes Cedex 1 44093, France.
医院专业人员经常经历中断,其中一半以上是可以避免的. 了解这些干扰,特别是管理和护理提供功能之间的干扰,是提高患者安全和工作流程效率的关键.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 工作场所动态工作场所动态
背景情况:
- 关于住院医院环境中断的研究有限,特别是关于功能相互作用的研究.
- 改善护理安全需要解决管理和护理提供职能之间的不可避免的中断.
研究的目的:
- 描述住院医院工作中断的类型,频率,持续时间和可避免性.
- 在功能间相互作用的背景下分析中断.
主要方法:
- 在法国医院 (医疗/外科专科) 进行了直接观察性研究.
- 23个团队被观察了七个小时,有286名专业人士和1929次中断记录.
- 根据请求方法,持续时间,位置和任务功能分析了中断,并对可避免性进行了分类.
主要成果:
- 大多数中断 (58.7%) 是面对面和短暂的 (≤30s为72.5%).
- 超过一半的中断 (57.4%) 被认为是可以避免的.
- 每个专业人员平均每小时有10.5次中断,其中12:00-13:00是护理安全最危险的时期.
结论:
- 干扰是住院医院工作的一个重要因素,其中很大一部分是可以避免的.
- 对中断的认识和量身定制的管理策略对于护理团队提高患者安全至关重要.
- 解决管理和护理提供职能之间的相互作用可以减轻风险.
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