发声和采取行动:心理安全和共同解决问题的安全改进方向
Hassina Bahadurzada1, Michaela Kerrissey2, Amy C Edmondson1
1Harvard Business School, Harvard University, Soldiers Field Road, Boston, MA 02162, USA.
Healthcare (Basel, Switzerland)
|April 26, 2024
概括
通过共同解决问题的定向 (JPS) 提高心理安全,提高了患者安全和临床医生的留守率. 这种组合加强了心理安全对安全改善和留下意图的影响.
科学领域:
- 医疗保健管理的管理
- 组织心理学 组织心理学
- 患者安全研究 患者安全研究
背景情况:
- 医疗机构面临着持续的患者安全问题和高临床医生流动.
- 心理安全对于患者安全至关重要,但其影响可以进一步增强.
- 共同解决问题的方向 (JPS) 被探索为一个潜在的主持人.
研究的目的:
- 研究心理安全与JPS在改善患者安全方面的相互作用.
- 检查心理安全和JPS如何影响临床医生留下来的意图.
- 为了解医疗保健中的这些关系提供一个理论框架.
主要方法:
- 从14943名面向患者的医疗保健工作者收集的纵向调查数据.
- 统计分析以测试相互作用效应 (适度).
- 检查心理安全,JPS,安全改善和留下意图之间的关系.
主要成果:
- 在心理安全和JPS之间发现了对安全改善的显著积极相互作用效应.
- 心理安全与安全改善的积极关联在JPS存在时更强烈.
- 心理安全和JPS都积极预测临床医生留下来的意图.
结论:
- 共同解决问题的导向 (JPS) 提高了心理安全的有效性,以改善患者的安全.
- 心理安全和JPS的相互作用对于患者的安全和临床医生的保留都至关重要.
- 医疗机构可以从评估心理安全和JPS中获益,以改进其安全气候战略.
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