在门诊护理实践中支持错误管理和安全气候:CIRSforte研究
Beate S Müller, Dagmar Lüttel1, Dania Schütze2
1German Coalition for Patient Safety, Berlin.
一项多组件干预措施显著改善了德国门诊护理实践中的安全气候和错误管理. 培训和信息交换是提高患者安全和从事件中学习的关键.
科学领域:
- 医疗保健管理的管理
- 患者安全研究 患者安全研究
- 组织心理学 组织心理学
背景情况:
- 医疗机构必须从关键事件中吸取教训,以提高患者的安全.
- 在门诊护理中,有效的错误管理和强大的安全环境至关重要.
- 关于改善门诊环境中的错误管理和安全环境的研究很少.
研究的目的:
- 开发,实施和评估多组件干预措施,以改善门诊护理实践中的错误管理和安全环境.
- 评估干预对安全气候水平和错误管理的心理决定因素的影响.
- 收集参与者对干预有效性的反.
主要方法:
- 进行了一项前性1组前测试后测试实施研究.
- 干预包括指导方针,研讨会,电子学习,在线会议和新闻通讯.
- 安全气候,心理行为决定因素和错误管理使用问卷和调查进行了评估. 进行了半结构面试.
主要成果:
- 184个德国门诊护理实践参加了.
- 在安全气候水平和强度上观察到显著的改善.
- 改善了诸如"行动/应对计划"和"行动控制"等关键心理决定因素. 76%的实践实施或修改了报告系统.
结论:
- 培训实践团队,提供实用工具和促进信息交换对于改善安全环境和错误管理至关重要.
- 该干预措施在提高患者安全性和从门诊护理中发生的事件中学习方面表现有前途.
- 建议进行进一步的随机对照试验,以确认干预的有效性.
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