沟通如何影响患者安全? 系统审查和逻辑模型协议.
Jeremy Howick1,2, Amber Bennett-Weston3, Josie Solomon3
1Stoneygate Centre for Empathic Healthcare, Leicester Medical School, Leicester, UK jh815@leicester.ac.uk.
医疗保健中的不良沟通严重损害了患者,导致数百万人的死亡和高成本. 这项研究系统地审查了沟通如何影响患者安全,旨在开发一个逻辑模型,以更好地理解.
科学领域:
- 医疗保健的质量和安全
- 医学沟通研究 医学沟通研究
- 医疗保健服务研究 医疗服务研究
背景情况:
- 患者安全事件造成重大伤害,全球每10名患者中就有1人受到影响.
- 全球每年有超过300万例死亡与患者安全事件有关.
- 患者和医疗保健从业人员之间的沟通不良是这些事件的一个主要因素,影响医院支出15%.
研究的目的:
- 系统地评估医生与患者沟通对患者安全的影响.
- 开发一个逻辑模型,说明沟通与患者安全结果之间的关系.
- 综合来自不同医疗保健机构的证据,以了解沟通在患者安全方面的作用.
主要方法:
- 将对随机和非随机研究进行系统审查.
- 搜索将涵盖2013年至2024年2月的多个数据库 (MEDLINE,CINAHL,PsychINfo,CENTRAL,Scopus).
- 偏差风险将使用Cochrane ROBINS-I和RoB2工具进行评估,并通过叙述或元分析合成数据.
主要成果:
- 审查将量化沟通对患者安全事件的影响.
- 调查结果将按医疗保健学科,沟通类型和安全事件进行整理.
- 将展示一个逻辑模型,以视觉表示通信对患者安全的影响.
结论:
- 有效的沟通策略对于提高患者安全至关重要.
- 了解通信与安全之间的联系可以为减少伤害的干预提供信息.
- 这项研究将为通过更好的沟通实践改善患者安全提供一个框架.
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