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安全手术检查清单的实施:管理实践和安全文化变革协会的协会
Maike Tietschert1, Sophie Higgins2, Alex Haynes3
1a Erasmus University Rotterdam, The Netherlands.
Advances in health care management
|January 23, 2024
概括
实施安全手术检查清单改善了安全文化和团队合作. 管理实践的变化与医院安全文化认知的增强有关.
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:
- 确保安全的医疗保健系统,特别是在外科手术中,仍然是一个挑战.
- 安全文化对于高质量的护理至关重要,但很难改变.
- 安全手术检查清单旨在改善安全文化和手术护理,但其有效性仍在争论中.
研究的目的:
- 在实施安全外科手术检查清单期间,调查管理实践的变化和感知到的安全文化之间的联系.
- 评估安全手术检查清单实施对手术环境中的安全文化和团队合作的影响.
主要方法:
- 在42家一般急症护理医院中使用了前后测试设计.
- 调查测量了人们对管理实践的看法 (世界管理调查) 和安全文化 (安全外科实践调查).
- 在两年内,从99名经理和2,380-1,433名临床手术室人员那里收集了数据.
主要成果:
- 在管理实践的变化和整体安全文化之间发现了显著的关系.
- 感知团队工作的改善也与管理实践的变化有显著的关联,后检查清单实施.
结论:
- 管理实践的变化与安全文化和团队合作在安全手术检查清单实施后的改进有显著的关联.
- 这表明,加强管理实践可以积极影响手术环境中的安全文化.
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