患者对急诊室行为标志的看法:定性分析
Rachel E Gonzales1,2,3,4, Emily F Seeburger1,2,3,5, Ari B Friedman1,2
1Department of Emergency Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
概括
患者对急诊室 (ED) 的行为标志有不同的看法. 虽然有些人认为它们是安全工具,但其他人担心电子健康记录 (EHR) 存在潜在的偏见和缺乏透明度.
科学领域:
- 医疗保健安全 医疗保健安全
- 患者体验患者体验
- 卫生公平性健康公平性
背景情况:
- 医院在电子健康记录 (EHR) 中使用行为标记来标记潜在的威胁行为患者.
- 旗放置的种族差异引发了人们对患者护理方面的偏见的担忧.
- 关于患者对这些标志和相关差异的看法,人们的理解有限.
研究的目的:
- 探索患者对在急诊室 (ED) 中使用的行为标志的看法.
- 从患者的角度来看,确定行为标志的感知好处和危害.
- 了解患者对透明度和与行为标志实施相关的公平性的看法.
主要方法:
- 与缺乏行为标志的ED患者进行了25次半结构化的定性访谈.
- 采访探讨了患者对行为标志的实用性,风险和公平性的看法.
- 在转录的采访中使用专题分析来确定关键主题.
主要成果:
- 患者对行为标志的看法是多样化的,包括积极和消极的观点.
- 确定的主题包括感知到的好处,对危害的担忧,透明度问题,公平考虑和改进建议.
- 参与者强调了旗的双重性质,既是安全措施,也是潜在的偏见来源.
结论:
- 患者对ED行为标志的看法各不相同.
- 人们担心对护理,透明度和公平的潜在负面影响.
- 纳入患者见解可以帮助改进旗系统,以提高效率和公平性.
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