一个组合评估工具的团队合作,沟通和工作负载在医院的程序单位
Joint Commission journal on quality and patient safety
|December 10, 2023
概括
结合观察,采访和调查的新工具包有助于识别患者安全差距. 领导人发现评估和建议对改善医疗保健非常有帮助.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 提高质量 提高质量
背景情况:
- 团队合作,沟通和工作负载挑战是医疗机构患者安全事件的持续贡献者.
- 积极识别系统性问题对于降低风险和改善患者护理至关重要.
- 现有的方法可能无法完全捕捉影响安全的因素的复杂相互作用.
研究的目的:
- 开发和评估混合方法工具包,以主动识别患者安全差距.
- 评估工具包在不同医院单位的实用性和影响.
- 为组织改进提供可行的建议.
主要方法:
- 创建了一个诊断混合方法工具包,集成了一种行为观察工具,半结构面试指南和调查.
- 该工具包适用于三个医院的14个单位.
- 数据分析涉及识别发现和制定相关建议.
主要成果:
- 14个单位的工具包应用产生了344个发现和156个建议.
- 单位领导认为评估和建议非常有帮助 (平均分数为5).
- 在个人 (47.9%) 和单位 (85.7%) 层面实现了高响应率.
结论:
- 开发的混合方法工具包有效地主动识别患者安全差距.
- 该工具包为医疗保健组织提供了有价值的见解和可行的建议.
- 将此工具整合到安全策略中可以显著地告知并推动组织改进工作.
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