正式和非正式的医院应急管理实践:在危机中管理安全和绩效
Tuna Cem Hayirli1,2, Masha Kuznetsova2, Paul D Biddinger3
1Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, United States.
概括
医院通过混合正式和非正式的紧急管理实践来应对新冠肺炎疫情. 成功应对危机需要富有想象力的规划,灵活的团队合作和强有力的伙伴关系,以提供有弹性的护理.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 应急管理 应急管理
- 医疗保健政策 医疗保健政策
背景情况:
- 在新冠肺炎疫情期间,医院面临着重大挑战,包括人员和供应短缺.
- 正式的应急准备经常被证明不足以解决遇到的多方面的困难.
研究的目的:
- 分析医院在危机期间如何利用正式和非正式的应急管理实践.
- 了解这些做法如何有助于保持安全和高质量的护理.
主要方法:
- 定性研究涉及26次采访医院领导和紧急管理人员.
- 针对12家具有不同特征 (位置,规模,系统成员资格等) 的美国医院进行了有目的的抽样. ) 的情况.
主要成果:
- 医院采用正式和非正式的规划,组建团队和资源/信息交换实践来应对挑战.
- 仅仅依靠正式或非正式的方法是不够的;预先规定的计划和结构经常失败.
- 新兴的能力,如富有想象力的规划,重组团队合作和转型交流,促进了弹性.
结论:
- 有效的危机管理需要正式和非正式的应急管理实践之间的和相互作用.
- 医疗保健组织必须促进创造性规划,多元化的团队合作和强大的组织间合作伙伴关系,以实现弹性.
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