开发一套定制的基于证据的质量指标来衡量对医疗保健工作者的工作场所暴力:修改后的Delphi方法
Rickinder Sethi1,2, Brendan Lyver3, Jaswanth Gorla1
1University of Toronto Temerty Faculty of Medicine, Toronto, Ontario, Canada.
BMJ open quality
|July 4, 2024
概括
一个经过修改的Delphi过程确定了17个关键质量指标,用于监测医疗保健环境中的工作场所暴力 (WPV). 这些指标可以实现实时数据可视化,并支持组织决策,以提高安全性.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 提高质量 提高质量
背景情况:
- 职场暴力 (WPV) 是医疗保健领域的一个重大全球性挑战.
- 有效监测WPV需要针对质量改善举措的具体质量指标.
- 现有的指标可能无法充分捕捉医疗保健机构中WPV的复杂性.
研究的目的:
- 确定一套经过验证的质量指标,以有效监测医疗保健中的工作场所暴力.
- 建立对评估WPV干预措施可测量的指标的共识.
主要方法:
- 一个经过修改的Delphi过程,涉及30名在一个大型学术健康科学中心的专家利益相关者.
- 文献审查以确定初始质量指标,使用Donabedian模型进行分类.
- 两轮专家调查以达成关于WPV质量指标的共识.
主要成果:
- 专家小组最初评估了87个基于文献的质量指标.
- 在17个质量指标上达成共识:7个结构指标,6个过程指标和4个结果指标.
- 开发了一个实时数据仪表板来显示这些WPV指标.
结论:
- 通过使用修改后的Delphi方法,通过专家共识确定了一套17个WPV质量指标的验证集.
- 确定的指标是可操作的,适用于大学卫生网络 (UHN) 的纵向质量监测.
- 这些指标将促进数据可视化,并为解决WPV的实时组织决策提供信息.
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