使用事件报告来诊断学习卫生系统的精确干预的沟通挑战: 一个方法论文
Rebecca R S Clark1,2,3, Tamar Klaiman4, Kathy Sliwinski1,3
1Center for Health Outcomes and Policy Research University of Pennsylvania School of Nursing Philadelphia Pennsylvania USA.
对产妇死亡事件报告的系统审查揭示了沟通中断和偏见. 分析这些报告可以确定有针对性的干预措施,以改善患者-提供者和团队沟通,减少可预防的死亡.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者安全研究的研究.
- 卫生沟通健康沟通
背景情况:
- 糟糕的沟通是美国可预防的孕产妇死亡率的一个重要因素.
- 沟通障碍被种族主义等偏见所加剧.
- 为改善沟通确定具体的干预点对医疗保健领导者来说是一项挑战.
研究的目的:
- 系统地分析事件报告,以确定沟通挑战中的模式.
- 探索沟通问题与患者的种族/种族和母亲的结果的交叉关系.
- 为改善医疗保健沟通提供有针对性的机会.
主要方法:
- 来自妇女健康服务的事件报告的定性内容分析.
- 将事件报告与患者病历联系起来,以包括种族/种族和结果.
- 开发一个主题代码书,结合以股权为中心的代码和临床专业知识.
主要成果:
- 事件报告为了解通信故障提供了有价值的数据来源.
- 分析揭示了在通信研究中需要以公平为重点的代码.
- 进行这项研究需要大量的资源和代的利益相关者参与.
结论:
- 事件报告是快速改善医疗保健沟通的一个有希望的工具.
- 在使用事件报告进行快速分析和干预方面存在障碍.
- 需要进一步的创新来克服这些障碍,并加强沟通实践.
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