通过全面的患者行为计划,提高员工安全
Amanda Laprime1,2, Rebecca Kanaley3, Amy Keller2,3
1Department of Pediatrics Division of Transitional Care Medicine, Rochester, New York.
Hospital pediatrics
|April 12, 2024
概括
卫生保健工作者在实施新计划后,患者行为事件造成的伤害较少. 这一举措成功地将儿童医院环境中的受伤率降低了50%以上.
科学领域:
- 医疗保健安全 医疗保健安全
- 行为健康 行为健康
- 提高质量 提高质量
背景情况:
- 越来越多的攻击性行为对医疗保健工作者.
- 与患者行为事件相关的员工伤害增加.
- 在儿科护理环境中需要系统级的创新.
研究的目的:
- 在3年内将患者行为事件造成的员工伤害减少50%.
- 在儿童医院实施全面的行为计划.
- 培养员工安全的文化.
主要方法:
- 跨学科的质量改善团队 (医生,行为分析师,护理).
- 开发了一个5支柱的行为计划:侵略减轻,临床资源,高级培训,查/管理,行为应急响应.
- 使用统计过程控制U图表追踪员工安全事件.
主要成果:
- 员工受伤率从每 1000 个调整后的患者日中,从 0.96 降至 0.39 个.
- 在U图表上观察到显著下降 (特殊原因变化),持续了16个月.
- 伤害常常影响护士和技术人员,往往是由未满足的患者需求或医疗干预先发生的.
结论:
- 一个统一的多式联络系统有效地解决儿科患者的行为事件.
- 这种方法显著减少了儿科住院病人的员工伤害.
- 培养强化员工安全的文化.
相关概念视频
Patient-centered Care
2.0K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.0K
Healthcare Associated Infections II: Preventive Measures
2.6K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.6K
Guidelines and Strategies for Safe Computer Charting
802
The guidelines and strategies provided by the American Nurses Association (ANA) and the Canadian Nurses Association (CNA) offer essential principles for ensuring safe and secure computer charting systems in healthcare settings. Let's break down each recommendation:
Maintain Confidentiality and Security:
Maintain Confidentiality and Security:
802
Obedience
32.9K
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
32.9K
Behavior Modification
144
Behavioral approaches have often been criticized for ignoring mental processes and focusing solely on observable behavior. However, these approaches provide an optimistic perspective for individuals seeking to change their behaviors. Rather than concentrating on intrinsic personality traits, behavioral approaches suggest that even longstanding habits can be modified by changing the reward contingencies that maintain them.
A real-world application of operant conditioning principles is applied...
A real-world application of operant conditioning principles is applied...
144
Ethical Standards I
799
The American Nurses Association (ANA) created and implemented the first nationally accepted Code of Ethics for Nurses with Interpretive Statements. The Code of Ethics is a living document regularly updated by the ANA and establishes an ethical standard that is non-negotiable for nurses in all roles and settings.
The Code of Ethics provisions outline the nurse's duty to the patient, the healthcare team, the profession, and society. The Code's fundamental principles include advocacy,...
The Code of Ethics provisions outline the nurse's duty to the patient, the healthcare team, the profession, and society. The Code's fundamental principles include advocacy,...
799


