在儿科急性护理中的疾病发病率和死亡率会议的目标. 一个定性案例研究
Emma Jeffs1,2,3, Fiona Newall1,2, Clare Delany1,2
1The Royal Children's Hospital, Parkville, VIC, Australia.
概括
儿科急性护理的发病率和死亡率会议具有复杂的,超出患者安全的竞争目标. 了解这些细微的目标是优化其有效性和培养强大的安全文化的关键.
科学领域:
- 儿科急性护理 儿科急性护理
- 医疗教育 医学教育
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 发病率和死亡率 (M&M) 会议是医疗保健中的标准,通常被视为教育或质量改善工具.
- 然而,它们在儿科急性护理机构中的实际功能和目标是复杂的,并未完全理解.
- 这种复杂性需要对它们所感知的目标进行更深入的探索.
研究的目的:
- 在儿科急性护理背景下探索发病率和死亡率 (M&M) 会议的感知目标.
- 了解这些关键会议目标中的细微差别和潜在冲突.
主要方法:
- 使用了定性案例研究方法.
- 数据收集涉及与医疗保健专业人员进行半结构化采访和直接观察M&M会议.
- 这项研究是在一个大型儿科四级医院进行的,该医院有六个临床部门.
主要成果:
- 两个主要主题出现了:"复杂和细微的目标"和"目标之间的和目标中的紧张和竞争".
- 确定的目标包括评估护理,学习,支持,坚持和推动变革,往往相互竞争.
- 参与者认为M&M会议是有价值的,除了确定可测量的患者安全干预之外,还发挥了作用.
结论:
- 儿科急性护理的发病率和死亡率 (M&M) 会议具有超越简单患者安全指标的多方面的目标.
- 优化会议行为和有效性测量需要对这些多样化,有时相互矛盾的目标有充分的了解.
- 这些会议对嵌入式安全文化和知识博,熟练的医疗保健工作人员的发展做出了重大贡献.
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