术前环境中的心理安全:成本后果分析
Franklyn P Cladis1, Mark Hudson2, Joel Goh3
1Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA cladfp@upmc.edu.
BMJ leader
|March 12, 2024
概括
医疗保健机构心理安全性较低与员工流动增加和重大财务成本有关. 解决这个问题可以减少营业额,节省大量的开支.
科学领域:
- 医疗保健管理的管理
- 职业心理学 职业心理学
- 麻醉学 麻醉学
背景情况:
- 在心理上不安全的环境有助于高员工流动和医疗保健的财务压力.
- 这项研究调查了精神安全与麻醉科内营业额之间的联系.
研究的目的:
- 测试一种假设,即较低的心理安全与较高的员工流动率相关.
- 估计与营业额驱动的心理安全低水平相关的财务成本.
主要方法:
- 在一个学术麻醉学系测量了心理安全和离开的意图.
- 线性回归和皮尔森相关性分析了心理安全和营业额意图之间的关系.
- 经过成本后果分析,估计了心理安全性低的财务影响.
主要成果:
- 在医生麻醉师 (MD) 和认证注册护士麻醉师 (CRNA) 之间发现了心理安全和营业额意图之间的显著反向关系.
- 较低的心理安全性增加了打算转身的几率,MDs为6.86,CRNAs为8.93.
- 归因于心理安全低的年度成本为MDs的337,428美元和CRNAs的14,024,279美元.
结论:
- 在学术麻醉科的低心理安全和员工流动之间存在直接的成本关系.
- 心理安全性较低可能会导致由于员工流动而造成重大财务损失.
- 提高心理安全,特别是CRNA的心理安全,可以节省大量的成本.
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