在一家大型急性教学医院的重症监护室探索安全文化,通过对不同数据源进行三角分析
Ellen Liston1,2, Enda O'Connor1,3, Marie E Ward1,4
1St James's Hospital, D08 NHY1 Dublin, Ireland.
Healthcare (Basel, Switzerland)
|December 8, 2023
概括
一项关于重症监护室 (ICU) 安全文化 (SC) 的研究发现,结合调查数据,图表审查和不良事件报告,揭示了理解SC组件 (如学习和报告) 的复杂性.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 组织文化 组织文化
背景情况:
- 安全文化 (SC) 对于提高患者安全和医疗保健成果至关重要.
- 不同的社会,文化和亚文化背景需要用于SC测量的混合方法方法.
- 了解SC对于改善医疗保健质量和患者福祉至关重要.
研究的目的:
- 在重症监护室 (ICU) 中,从多个来源对安全文化 (SC) 的数据进行三角化.
- 探索SC组件的复杂性,包括学习,报告和公正文化,使用混合方法方法.
- 在医院环境中评估患者的安全感知和不良事件 (AE) 数据.
主要方法:
- 在一家大型急性教学医院的重症监护室 (ICU) 采用混合方法方法.
- 数据是通过医院患者安全文化调查,使用全球触发工具 (GTT) 进行回顾性图表审查以及工作人员报告不良事件 (AE) 收集的.
- 来自这三个来源的数据的三角分析被用来分析SC.
主要成果:
- 患者安全文化医院调查的响应率为47%,其中98%的受访者报告了积极的患者安全评级.
- 全球触发工具 (GTT) 确定了16个不良事件 (AE),同时在同一时期报告了11个AE.
- 三角化强调了SC组件的复杂性质,特别是学习,报告和正义文化.
结论:
- 测量安全文化 (SC) 需要采用综合方法,整合各种数据源以捕捉其多方面的性质.
- 这项研究强调了在重症监护病房 (ICU) 中理解特定的SC元素,如学习,报告和正确的文化等方面的复杂性.
- 调查结果强调需要细微的策略来促进医疗保健机构强有力的安全文化.
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