绘制策略,加强安全文化:一个范围审查
Cristiane de Lima Pacenko1,2, Karla Crozeta Figueiredo1,2, Elisabete Nunes2
1Postgraduate Program in Nursing, Department of Nursing, Federal University of Paraná, Avenue Prefeito Lothário Meissner 632, Curitiba 80210-170, Brazil.
Healthcare (Basel, Switzerland)
|June 26, 2024
概括
医院的患者安全文化需要加强. 本次审查确定了沟通,团队合作和领导力等关键策略,以减少伤害和改善护理,尽管有效性需要进一步评估.
科学领域:
- 医疗保健质量和患者安全研究.
- 组织安全文化发展.
背景情况:
- 尽管自"犯错是人类"报告以来取得了进展,但在高收入国家,伤害患者仍然很普遍.
- 加强医疗保健安全文化对于减少不良事件至关重要.
研究的目的:
- 系统地绘制出加强医疗保健机构患者安全文化的策略.
- 识别和分类科学文献中描述的干预措施.
主要方法:
- 根据JBI (Joanna Briggs Institute) 的方法进行全面的范围审查.
- 在2023年对Lilacs,MedLine,IBECS和PubMed数据库进行的搜索.
- 包括来自巴西和北美患者安全机构的研究和组织文件.
主要成果:
- 包括58项研究 (52篇文章,6份组织文件).
- 确定了七种类型的患者安全文化战略.
- 沟通 (69%),团队合作 (58.6%) 和积极领导 (56.9%) 是最常见的策略.
结论:
- 这些策略为制定强有力的患者安全文化提供了框架.
- 为了有效改善患者护理,需要采用全面的组织方法.
- 局限性包括有限的数据库搜索和缺乏评估的战略有效性.
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