积极的患者安全:通过基于模拟的临床系统测试和医疗保健失败模式和效果分析来提高医院的准备能力
Tarek Hazwani1,2,3,4, Heba Hamam5, Angela Caswell6
1Department of Pediatrics, Ministry of National Guard - Health Affairs, P.O. Box 22490, 11426, Riyadh, Saudi Arabia. tarekhazwani@gmail.com.
Advances in simulation (London, England)
|June 25, 2024
概括
基于模拟的临床系统测试 (SbCST) 和医疗保健故障模式和效果分析 (HFMEA) 有效地缓解了新医院超过76%的潜在安全威胁. 这种主动的方法提高了医院的准备和在调试期间的患者安全.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 风险管理 风险管理
背景情况:
- 积极识别潜在的安全威胁 (LST) 对于医院的准备和患者安全至关重要.
- 这项研究评估了基于模拟的临床系统测试 (SbCST) 和医疗保健故障模式和效果分析 (HFMEA) 的结合方法,用于在新的医院环境中减轻LST.
研究的目的:
- 评估SbCST与HFMEA整合在医院开业前识别和减轻LST的有效性.
- 通过系统的风险评估过程,提高整体医院准备和患者安全.
主要方法:
- 在所有医院区域应用了结合SbCST和HFMEA的三阶段方法.
- 场景测试了系统功能,团队响应和资源可用性,以识别LST.
- 识别的威胁被分类,优先考虑,并通过缓解策略来解决,随后进行重新评估.
主要成果:
- 使用组合方法,超过76%的已识别的LSTs被成功缓解.
- 解决了系统问题 (例如通信设备,电梯),人为因素 (例如错误沟通) 和资源不足 (例如设备) 的问题.
- 缓解策略改善了沟通,团队合作,设备可用性和员工培训.
结论:
- 结合SbCST和HFMEA的方法在主动识别和减轻LST方面非常有效.
- 这种系统的方法提供了一个有价值的工具,以提高新医疗机构的患者安全.
- 该方法为医疗保健建设和调试中的积极危险识别和风险管理设定了潜在的标准.
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