组织学习在发病率和死亡率会议上
概括
发病率和死亡率会议 (M&MCs) 可以通过识别系统趋势和促进患者安全文化来促进组织学习. 这样可以在团队和组织层面优化从不良事件中学习.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 组织学习 组织学习
背景情况:
- 发病率和死亡率会议 (M&MCs) 正在将重点转移到质量改善和系统级护理.
- 在M&MC中,学习传统上发生在个人层面,阻碍了组织层面的质量改进举措.
- 了解优化M&MC内部组织学习的因素至关重要.
研究的目的:
- 描述组织和团队文化如何优化疾病和死亡率会议中的组织学习.
- 探索在M&MCs.中整合系统级错误分析.
- 在组织层面确定增强从不良事件中学习的策略.
主要方法:
- 采用了前性的多个案例研究设计.
- 通过有目的的抽样,从不同的北美医疗/外科专业中选择了三例病例.
- 数据收集包括直接的M&MC观察,半结构面试和文档分析.
主要成果:
- 管理与管理系统 (M&MCs) 综合识别系统范围的趋势,以及组织/团队从错误中学习.
- 所有案例都展示了双循环学习和利用组织记忆策略.
- 一个以开放沟通为特征的患者安全文化,促进了从不良事件中学习.
结论:
- 面向系统的M&MC可以作为组织学习的背景.
- 组织学习理论的元素在研究的M&MC中很明显.
- 当M&MC被结构化为组织学习时,可以促进从不良事件中获得最佳的学习.
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