区域转型:使用高可靠性组织实施策略的集成系统对磁铁指定的方法
Juli McGinnis1, Emma Aquino-Maneja, Kristy Geloso
1Author Affiliations: Patient Care Services, Kaiser Permanente, Pasadena, CA.
Journal of nursing care quality
|May 13, 2024
概括
实施高可靠性组织 (HRO) 策略和混合枢纽分支模型 (HHSM) 改善了15家医院的磁铁指标,患者结果和护理研究.
科学领域:
- 医疗保健管理局的管理.
- 护理的卓越 护理的卓越
- 组织文化 组织文化
背景情况:
- 在磁体渴望环境和高可靠性组织 (HRO) 文化之间存在协同作用的机会.
- 这些合作可以提高安全性,质量,知识生成,持续改进和前线赋权.
- 区域医院在磁铁准备,领导力参与和资源能力方面表现出差异.
研究的目的:
- 为了支持15家医院的区域范围内的磁铁指定.
- 为了改善患者的治疗结果,并推进护理研究.
- 通过HRO策略加强Magnet卓越基础设施的实施和培养.
主要方法:
- 使用了质量改进 (QI) 方法.
- 采用混合枢纽-分支模型 (HHSM) 来促进全地区的支持.
- 高可靠性组织 (HRO) 的战略被整合起来,以加强基础设施和文化采用.
主要成果:
- 在15个设施中,有9个设施获得了磁铁认可.
- 磁体识别的部位显示,倒造成伤害 (P=0.012),医疗相关感染和医院获得的压力伤害的比率明显较低.
- 护理研究研究增加了223%.
结论:
- 混合枢纽 - 支柱模型 (HHSM) 和高可靠性组织 (HRO) 策略对于实现区域范围内的磁铁指定是有效的.
- 这些方法支持持续质量改进的举措.
- 该研究表明,通过战略组织发展,提高医疗保健质量和护理研究的成功模式.
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