南美洲的患者安全文化:一个横截面研究
Aline Cristina Pedroso1, Fernanda Paulino Fernandes2, Paula Tuma2
1Qualidade e Segurança do Paciente, Hospital Israelita Albert Einstein, São Paulo, Brazil aline.pedroso@einstein.br.
BMJ open quality
|October 6, 2023
概括
南美医院的患者安全文化在领导支持和团队合作方面表现出优势,但在人员配置和错误报告方面需要改进. 这项研究为加强该地区患者安全提供了基线.
科学领域:
- 医疗保健管理的管理
- 患者安全研究 患者安全研究
- 提高健康的质量 改善健康的质量
背景情况:
- 每年有数以百万计的人因不安全的医疗保健而遭受痛苦,这凸显了强有力的患者安全文化 (PSC) 的关键需求.
- 测量PSC可以识别优势和弱点,指导干预,但拉丁美洲数据仍然很少.
- 强有力的安全文化对于减轻医疗援助中的风险和伤害至关重要.
研究的目的:
- 评估南美医院内的患者安全文化.
- 建立一个基线,以了解该地区的PSC.
- 确定针对性质量改进举措的领域.
主要方法:
- 这是一项多中心国际横截面研究,于2021年7月至9月在四个南美国家 (阿根廷,巴西,智利,哥伦比亚) 进行.
- 使用了医院对患者安全文化的调查 (HSOPSC V.1.0) 与自愿参与.
- 小组分析分析了基于领导职位和专业类别的差异.
主要成果:
- 对5695份记录的分析显示,患者安全是首要任务 (89.2%),但错误报告率低 (23.8%).
- 最强大的维度包括组织学习 (82%),团队合作 (79%) 和管理支持 (78%).
- 需要改进的领域是人员 (41%) 和对错误的非惩罚性反应 (37%);领导职位通常报告PSC得分更高.
结论:
- 调查结果提供了拉丁美洲PSC的基本概述,使区域和全球比较成为可能.
- 尽管缺乏探索,但南美医疗机构展示了加强的安全护理文化.
- 在人员配置和错误报告方面发现的弱点为质量改进战略提供了明确的目标.
相关概念视频
01:08Obedience
32.9K
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
32.9K
01:22Healthcare Associated Infections II: Preventive Measures
2.7K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.7K
01:28Survey Safety
33
Surveying near highways, rough terrain, or power lines involves significant risks. Working along highways is particularly dangerous and requires the use of warning signs and flagmen. It is safest to avoid working directly on roads and use offsets whenever possible. When highway work is unavoidable, it must follow all safety guidelines. Surveyors should wear bright clothing, such as orange reflective vests, to ensure visibility to motorists, coworkers, and hunters. In construction zones, wearing...
33
01:19Pharmacovigilance
866
Post-marketing surveillance is a critical component of pharmaceutical regulation, often uncovering unanticipated adverse drug reactions (ADRs) once a drug is widely used over an extended period.
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
866
01:21Types of Reports II: Incident or Occurrence Report
843
An Incident or Occurrence Report in a healthcare setting is a crucial document used to record any unexpected occurrence that may or may not have affected a patient, employee, or visitor. Such reports are critical to improving patient safety and include all details leading up to and including the event.
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
843
01:20Sputum Studies II: Culture and Sensitivity
366
Description
Sputum culture and sensitivity is a medical procedure used to diagnose bacterial infections in the respiratory tract and select the most appropriate antibiotics for treatment. This process involves analyzing sputum samples of thick and opaque secretions produced in the lungs and airways. These samples are collected from patients and then sent to the laboratory for analysis.
The test can identify various pathogens responsible for respiratory infections, including Streptococcus,...
Sputum culture and sensitivity is a medical procedure used to diagnose bacterial infections in the respiratory tract and select the most appropriate antibiotics for treatment. This process involves analyzing sputum samples of thick and opaque secretions produced in the lungs and airways. These samples are collected from patients and then sent to the laboratory for analysis.
The test can identify various pathogens responsible for respiratory infections, including Streptococcus,...
366