安全案例可以为患者的安全提供什么? 一个多站点案例研究
Elisa Giulia Liberati1, Graham P Martin2, Guillaume Lamé2,3
1THIS Institute (The Healthcare Improvement Studies Institute), Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK elisa.liberati@thisinstitute.cam.ac.uk.
BMJ quality & safety
|September 21, 2023
概括
安全案例方法是一种风险管理技术,显示出医疗保健的潜力,但在实施方面面临挑战. 其系统的危险识别是有价值的,但资源需求和难以解决的组织问题限制了其在临床途径中的有效性.
科学领域:
- 医疗保健安全管理的管理
- 风险评估方法 风险评估方法
- 优化临床途径的优化.
背景情况:
- 安全案例是一种用于系统识别危险和降低风险的监管技术.
- 它在高风险行业广泛使用,但在医疗保健领域的使用很少.
- 这项研究考察了其首次被记录到临床途径中的应用.
研究的目的:
- 评估安全案例方法论在临床途径中的应用.
- 确定这种方法在医疗保健环境中的挑战和好处.
主要方法:
- 对"更安全的临床系统"项目的混合方法评估.
- 分析了143次采访和13个由临床团队开发的安全案例.
主要成果:
- 参与者欢迎安全案例的积极风险识别原则.
- 编制安全案例发现了以前隐藏的危险,但耗费了大量资源.
- 一些确定的危险源于超出前线或组织控制范围的系统问题.
结论:
- 安全案例方法已经认识到医疗保健安全的潜在价值.
- 存在重大挑战,特别是在将安全管理实践从其他部门转移到医疗保健方面.
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