感知推动干预措施,以减轻药物错误的风险在医疗保健服务的提供
Keng Sheng Chew1, Say Keat Ooi2, Noor Fareen Abdul Rahim2
1Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak, Kota Samarahan, 94300, Sarawak, Malaysia. kschew@unimas.my.
BMC health services research
|November 28, 2023
概括
刺激干预措施在减少药物错误方面表现有前途. 他们的成功取决于干预设计和文化因素,如年长,特别是高级医生.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 医学上的行为经济学.
- 患者安全研究 患者安全研究
背景情况:
- 对于药物错误的传统认知干预受到意图-行为差距的限制.
- 推动干预提供了一种新的方法,可以微妙地影响选择并减少错误.
研究的目的:
- 评估六个推动干预措施的感知有效性和易于实施,以减少药物错误.
- 检查职位长度和临床经验对这些推动的可接受性起的调节作用.
主要方法:
- 在2023年2月至5月期间进行了一项研究.
- 评估了六个具体的推动干预措施:提供者冠军,承诺,同行比较,提供者教育,患者教育和部门反.
- 部分最小平方结构方程建模 (PLS-SEM) 用于数据分析.
主要成果:
- 所有六种推策略都表明,感知到的有效性和可接受性之间存在显著的正相关性.
- 在六项干预措施中,在三项干预措施中,被认为易于实施的感觉对可接受性产生了积极的影响.
- 职位长度显著缓解了对同行比较干预措施实施的感知易度.
结论:
- 推动干预的可接受性受其内在特征和社会文化背景的影响,包括权力距离动态.
- 直接涉及高级医务人员的干预显示出更高的预测准确度,这表明文化对收养的影响.
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