完善医疗前应急队伍:一种行为理论镜头的案例
Judy Currey1, Stephanie K Sprogis1, Daryl Jones2
1School of Nursing and Midwifery & Centre for Quality and Patient Safety Research in the Institute for Health Transformation, Deakin University, 1 Gheringhap Street, Geelong, Vic. 3220, Australia.
概括
医疗前急救队 (pre-MET) 的使用不足,阻碍了患者的安全. 应用行为变化轮子
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 行为科学 行为科学
背景情况:
- 快速响应系统中的医疗前应急组 (pre-MET) 经常被充分利用.
- 低于最佳的结构,流程和资源限制导致了预METs的不足使用.
- 这种未充分利用可能会损害与快速响应系统相关的患者安全益处.
研究的目的:
- 倡导应用行为变化轮 (BCW) 框架,以提高MET前的有效性.
- 探索如何通过COM-B模型了解临床医生的行为可以改善预MET功能.
- 通过优化预MET实施和利用来确定最大限度地提高患者安全的策略.
主要方法:
- 这篇视角文章提出了分析的理论框架.
- 它使用行为变化轮 (BCW) 和其COM-B模型 (能力,机会,动机,行为) 作为分析工具.
- 在MET前期的沟通实践被用作一个具体的例子来说明该模型的应用.
主要成果:
- 该COM-B模型提供了一个结构化的方法,以了解影响临床医生的行为因素在预METs.
- 识别与能力,机会和动机相关的障碍和促进因素对于有针对性的干预至关重要.
- 这种分析重新构建了挑战,使得多面,行为知情的解决方案的开发成为可能.
结论:
- 行为变化轮和COM-B模型为改善预MET设计,实施和使用提供了坚实的理论基础.
- 临床治理领导者和医疗服务研究人员应该采用这个模型来调查MET前表现的行为基础.
- 实施行为知情策略对于最大限度地提高患者安全和快速反应系统的有效性至关重要.
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