让我们谈谈安全 - 来自新生儿重症监护室的数据 安全和床位容量 拥挤
Teresa O'Malley1, Jamie Capone, Brittanie Perla
1University of Pittsburgh Medical Center Children's Hospital of Pittsburgh , Pittsburgh, Pennsylvania.
概括
在新生儿重症监护室 (NICU) 实施结构化的安全聚集改善了患者安全文化. 每天的讨论和公正的文化模式促进了问责制和从安全事件中学习.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 组织文化 组织文化
背景情况:
- 安全聚会是短暂的团队会议,以交换必要的信息.
- 它们作为一个论坛来识别和审查患者安全事件.
- 公正的文化强调对患者安全的责任.
研究的目的:
- 在IV级新生儿重症监护病房 (NICU) 每天两次床位容量聚集期间实施和评估安全讨论.
- 通过日常的患者安全讨论和建立的升级过程来培养公正的文化.
- 加强单位的安全文化,并促进从患者安全事件中学习.
主要方法:
- 采用一个公正的文化模式来指导安全讨论.
- 使用结构化的检查清单和聚集的基本规则.
- 多学科团队每天两次参与,由护士领导者促进,他们跟踪结果并确保后续行动.
主要成果:
- 结构化安全聚集计划于2020年5月启动,每天运行两次.
- 所有要求的员工都必须出席.
- 已经实施了一种定义的升级过程,成功地防止某些安全问题再次出现.
- 尼日利亚重症监护中心观察到,在医疗保健研究和质量局 (AHRQ) 的安全文化调查中,积极反应增加了14%.
结论:
- 安全聚集讨论显然影响了单位的安全文化.
- 系统地跟踪集体讨论有助于识别趋势和完善流程.
- 这些改进最终有助于提高患者安全结果.
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