组织意图,组织结构和审稿人的心理模式 影响死亡率 审稿流程
Inas S Khayal1,2,3, Rebecca L Butcher1,4, Colin H McLeish5,6
1Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, NH.
了解影响卫生系统死亡率审查的因素可以改善患者的护理. 关键的影响包括组织目标,审查结构和审查员思维方式,指导系统改进和降低风险.
科学领域:
- 医疗保健管理的管理
- 提高质量 提高质量
- 医疗信息学 医疗信息学
背景情况:
- 死亡率审查过程对于识别医疗保健系统水平改进至关重要.
- 了解影响这些审查的多方面的因素对于优化其有效性至关重要.
研究的目的:
- 确定影响卫生系统内的死亡率审查过程的关键因素.
- 分析死亡案件如何进行,裁决,以及如何利用其调查结果.
主要方法:
- 美国6个卫生系统的死亡率审查过程的定性分析.
- 数据收集包括与审查小组成员进行半结构化采访和网站文档的内容分析.
主要成果:
- 三个主要因素影响死亡率审查:组织意图,审查结构和个人心理模型.
- 组织意图侧重于降低风险和改进系统;结构范围从集中到分散;心理模型包括确认偏差和模式识别.
结论:
- 卫生系统可以通过了解影响因素来加强死亡率审查.
- 利用这些见解可以促进机构改进和有针对性的培训,以建立共享的心理模型.
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