麻醉科 熟练的同行支持计划成果:第二个受害者的感知
Joint Commission journal on quality and patient safety
|March 31, 2024
概括
熟练的同行支持计划 (SPSPs) 在不良事件后改善了对麻醉提供者的机构支持. 这些计划增强了情感支持,并从患者安全事件中学习.
科学领域:
- 医学教育 医学教育
- 患者安全 患者安全
- 麻醉学 麻醉学
背景情况:
- 麻醉提供者经常遇到患者不良事件.
- 熟练的同行支持计划 (SPSPs) 在减轻痛苦和改善参与不良事件的医疗保健专业人员应对机制方面表现有前途.
- 这项研究调查了自愿SPSP对麻醉学部门第二受害者认知的影响.
研究的目的:
- 评估麻醉学部门新实施的熟练同行支持计划 (SPSP) 的有效性.
- 评估对患者发生严重不良事件的临床医生机构支持和资源可用性的看法变化.
- 确定SPSP是否改善了临床医生在不良事件后的组织学习和适应感.
主要方法:
- 一个熟练的同行支持计划 (SPSP) 在一个大型麻醉学部门在多个设施中实施.
- 在SPSP实施前和实施后18个月,对临床医生进行了调查.
- 后勤回归模型分析了经历不良事件的临床医生在感知支持和组织学习方面的差异,并根据角色和夜班调整.
主要成果:
- 实施后,62.5%的受访者报告说,机构支持有所改善.
- 临床医生更有可能同意,组织从事件中吸取教训,并采取措施防止复发 (aOR 3.9).
- 观察到感知到正式情感支持的可用性显著增加 (aOR 5.2).
结论:
- 在麻醉学部门实施熟练的同行支持计划可以增强机构对临床医生的情感支持.
- 医疗保健服务提供者在患者发生不良事件后为医疗保健专业人员提供更有利的环境.
- 研究结果表明,结构化的同行支持对组织反应和学习的看法产生了积极的影响.
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