参与根本原因分析的团队成员有什么经验? 一个定性研究研究
Ruth Willis1, Tracie Jones1, Jo Hoiles1
1Clinical Governance Unit, Southern Adelaide Local Health Network, Adelaide, South Australia, Australia.
BMC health services research
|October 25, 2023
概括
根源原因分析 (RCA) 为临床医生审查不良事件提供了价值,尽管需要改进分享学习. 了解团队成员的经验可以增强未来的RCA流程和临床实践整合.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者安全研究的研究.
- 临床风险管理临床风险管理
背景情况:
- 根本原因分析 (RCA) 是医疗保健中的一个复杂的过程.
- 了解RCA团队成员的经验对于优化其应用至关重要.
- 之前的研究还没有充分探索RCA团队成员所感知的价值和挑战.
研究的目的:
- 探索RCA团队成员的经验和感知价值.
- 确定影响RCA调查结果的行为和实施的因素.
- 为改善未来RCA招聘,执行和整合到临床实践中的战略提供信息.
主要方法:
- 定性探索性描述性研究设计.
- 半结构焦点小组与8名RCA团队成员进行.
- 对转录的数据进行主题分析,以确定关键主题.
主要成果:
- 出现了四个主要主题:团队经验,推限制,促进者/障碍物和同事支持.
- 参与者的经验是混合的,与感知价值以及对工作量和影响的担忧.
- 立法特权既有促进作用又有阻碍作用;支持同事的强烈愿望是显而易见的.
结论:
- 临床医生认识到通过RCA审查显著不良事件的价值.
- 加强学习共享对于有效改善医疗保健至关重要.
- 一个拟议的过程旨在改善RCAs的面试者支持和面试后的后续工作.
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