通过从成功和失败中学习来改善患者安全治理和系统:定性调查和采访国际专家
Peter D Hibbert1,2, Sasha Stewart1, Louise K Wiles1,2
1Australian Institute of Health Innovation, Faculty of Medicine, Health and Human Sciences, Macquarie University, 75 Talavera Rd, Macquarie Park, NSW 2109, Australia.
概括
国际患者安全专家确定了改善医疗保健的关键治理因素. 基本要素包括培养强大的安全文化,实施强有力的政策,支持员工发展,并有效地参与患者.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 卫生政策 卫生政策
背景情况:
- 对患者的伤害是全球健康的重大负担,影响了发病率,死亡率和经济.
- 关于患者安全策略的现有证据是巨大的,但缺乏全球优先事项和关键改进因素的明确性.
研究的目的:
- 探讨国际患者安全专家在解决的安全问题上的观点.
- 确定患者安全治理和影响结果的系统的关键方面.
主要方法:
- 一项基于网络的调查和半结构化的采访与国际医疗保健质量协会的英语学员和专家进行.
- 定性数据被主题分析并映射到系统理论事故模型和过程框架.
主要成果:
- 为了改善患者安全治理,出现了四个关键主题:安全文化,政策和程序,员工支持和患者参与.
- 专家强调了组织安全文化,国家政策,员工教育和患者参与的重要性,以实现可持续的改进.
结论:
- 提出的患者安全治理模型为制定数据驱动政策提供了一个框架.
- 可持续的患者安全需要一种整合文化,政策,劳动力发展和患者参与的系统方法.
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