高可靠性文化建设:从高可靠性组织范式中吸取教训
1Johns Hopkins University, Carey Business School, 100 International Drive, Room 1217, Baltimore, MD 21202, USA.
Anesthesiology clinics
|October 14, 2023
概括
高可靠性组织 (HRO) 理论,专注于适应性学习和可靠绩效的文化,正在越来越多地影响医疗保健安全. 虽然有希望,但在麻醉学和外科手术期间的护理中充分实现HRO的好处需要进一步的研究和整合.
科学领域:
- 医疗保健安全 医疗保健安全
- 组织理论是组织理论.
- 麻醉学和外科手术期间的护理
背景情况:
- 来自医疗保健之外的安全模型正在影响医疗保健安全实践.
- 高可靠性组织 (HRO) 理论强调适应性学习和可靠性表现的文化.
- HRO的历史植根于需要高风险绩效的行业.
研究的目的:
- 探索高可靠性组织 (HRO) 理论及其在医疗保健安全中的应用.
- 审查有关HRO概念在麻醉学和外科护理中的传播现有研究.
- 评估HRO在这些领域改善患者安全方面的现状和未来潜力.
主要方法:
- 关于HRO理论及其在医疗保健中的应用的文献综述.
- 分析研究以确定麻醉学和外科手术期间护理研究中采用的HRO概念.
- 综合发现,以评估HRO原则的整合和影响.
主要成果:
- 在医疗保健安全方面,HRO理论,优先考虑可靠性能的文化,正在获得引力.
- 研究表明,HRO概念对麻醉学和外科护理的兴趣日益增长,并且在一定程度上扩散.
- 现有研究表明,HRO原则在这些专业医疗领域的潜在实用性.
结论:
- 高可靠性组织 (HRO) 原则的整合到麻醉学和外科护理中是一个正在发展的领域.
- 虽然HRO概念显示出提高安全性的承诺,但仍有大量的工作需要充分利用其好处.
- 需要进一步的研究和实施努力,以实现HRO在改善患者安全结果方面的全部潜力.
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