开发和验证一个简短的临床风险管理实施问卷 (简短的CRiMI)
Nikoloz Gambashidze1, Matthias Marsall1, Martina Schmiedhofer2
1Institute for Patient Safety, University Hospital Bonn, Bonn, Germany.
概括
一个新的简短问卷,简短CRiMI,有效地测量了医院的临床风险管理实施情况. 该工具提供了有效的数据,用于对医疗机构进行基准评估,并提高患者安全.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 医疗保健服务研究 医疗服务研究
背景情况:
- 临床风险管理 (CRM) 对于提高医疗保健安全至关重要.
- 德国医院依法有义务实施CRM和报告系统.
- 之前的全国性调查使用了较长的工具,因此需要更短的评估工具.
研究的目的:
- 开发和验证一个简洁的仪器,用于测量CRM在医院的实施.
- 评估新简短问卷的心理测量特性.
- 为不同规模的医疗保健机构提供基准数据.
主要方法:
- 利用了2022年KHaSiMiR研究的数据,这是一个横截面的在线调查.
- 在探索性子样本 (n=181) 上使用主要成分分析.
- 通过对测试子样本 (n=181) 的确认因子分析验证了由此产生的26项,三因素模型,评估了内部一致性和外部有效性.
主要成果:
- 简短的CRiMI问卷,包括三个因素的26个项目,证明了可接受的模型匹配 (Chi2/df=1.36,CFI=0.941,TLI=0.930,RMSEA=0.045,SRMR=0.049).
- 所有因素的内部一致性都很好 (克朗巴赫α>0.70).
- 该仪器与自身和外部指标有显著的正相关性,表明在没有多对线性的情况下具有良好的有效性.
结论:
- 简短的CRiMI问卷是用于快速评估医院CRM实施的心理测量工具.
- 这种经过验证的工具可以促进医疗保健设施的高效评估和基准测试.
- 未来的研究应该探索它的外部有效性和与质量和安全结果的相关性.
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