一个全系统的战略,将公平纳入患者安全事件分析
概括
开发了一个新的框架和工具,将健康公平纳入患者安全事件分析. 培训提高了员工的知识和舒适度,导致了医疗保健中的更好的健康公平讨论.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 健康 公平 研究 健康 公平 研究
- 患者安全分析分析
背景情况:
- 在将健康公平纳入患者安全事件分析的框架中存在差距.
- 这项质量改进倡议解决了大型市政医疗保健系统中的这一差距.
- 该倡议的重点是开发和实施实际的股权工具和培训.
研究的目的:
- 开发和评估用于将公平纳入患者安全事件分析的新工具.
- 在事件分析中评估培训计划对员工知识和健康公平的舒适性的影响.
- 在培训和工具评估期间测量参与者的不适或痛苦.
主要方法:
- 开发了患者公平的轮子和嵌入公平的根源原因分析工作表.
- 在11个急性护理机构进行了为期两小时的互动,基于案例的培训.
- 进行了前后调查,包括临床图片分析和单独的工具评估.
主要成果:
- 参与者在将公平性嵌入事件分析中的知识和舒适性在培训后显著增加.
- 最不被认可的偏见类别是培训/能力,结构性工作流和文化/规范.
- 在整个系统中采用了各种工具,在事件分析过程中加强了健康公平对话.
结论:
- 开发的公平工具和培训有效地改善了在患者安全事件分析中的健康公平整合.
- 工作人员表现出提高识别和解决护理方面的偏见的能力.
- 该倡议成功地促进了医疗保健系统内的更全面的健康公平讨论.
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