促进门诊血液透析中心感染预防的人类因素:混合方法研究
Sarah Henrickson Parker1, Matthew N Jesso2, Laurie D Wolf2
1Carilion School of Medicine, Virginia Tech, Roanoke, Virginia.
概括
工作系统设计影响透析中心的感染预防. 了解人类的表现,工作环境和患者因素可以提高患者的安全性,并减少门诊透析环境中的感染.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 职业健康 职业健康 职业健康
背景情况:
- 在透析中心预防感染对于降低患者发病率和死亡率至关重要.
- 在这些环境中实施有效的感染控制措施存在重大挑战.
研究的目的:
- 研究工作系统设计如何影响门诊透析中心的感染预防策略.
- 识别与工作系统相关的感染预防障碍和促进因素.
主要方法:
- 一项混合方法的观察性研究在美国六个透析设施中进行.
- 采用了宏观人体工程学和民族学观察,分析了人类的表现,工作系统设计和外部因素.
- 用选择性和轴向编码分析了定性数据,用描述性的方式呈现了定量数据.
主要成果:
- 确定了预防感染的组织和社会技术障碍和促进者.
- 突出显示了影响人类表现的功能,例如报警,中断和任务堆叠.
- 指出工作系统设计元素的影响,如物理空间,安排,领导力,文化和患者特征.
结论:
- 一种系统的宏观人体工程学方法揭示了门诊透析中的关键感染预防障碍和促进因素.
- 确定了各设施的共同特征,这些特征可能会显著影响感染预防.
- 对这些已识别的特征进行进一步的探索是有必要的,以加强门诊透析机构的感染控制.
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