通过虚拟学习协作提高安全性
Jeffrey P Durney1, Katie M Catalano1, D Marlowe Miller2
1From the Department of Pediatrics, Boston Children's Hospital, Boston, Mass.
Pediatric quality & safety
|July 22, 2024
概括
一个虚拟的安全学习协作改善了医疗保健领导人对管理安全计划的信心和技能. 这一举措导致了15个安全项目的开发,并减少了患者的伤害事件.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者安全研究的研究.
- 医疗教育和培训 医疗教育和培训
背景情况:
- 前线医疗保健领导者在识别风险和减少患者伤害方面面临挑战.
- 地方安全计划的有效管理需要专业知识和信心.
- 需要加强战略,以支持医疗保健安全领导者.
研究的目的:
- 评估多学科安全学习协作对医疗保健领导者的信心和提高安全能力的影响.
- 评估儿科部门内安全改进项目的发展情况.
- 为了测量协作干预后患者安全事件率的变化.
主要方法:
- 使用卫生保健改进研究所的突破系列模型实施了一个虚拟安全学习协作.
- 参与者参与了虚拟教育课程,重点关注危害识别和安全改进工具.
- 每个月分析部门的安全数据,并通过调查前后评估参与者的信心.
主要成果:
- 70名临床医生和质量顾问参与,启动了15个部门安全改进项目.
- 对提高安全性的信心从26%显著增加到58% (P = 0.01),并在合作后保持在65%.
- 观察到,每1000个入院日报告的住院可预防事件的平均率从1.10降至0.71.
结论:
- 一种协作式的虚拟学习方法促进了安全项目的创建,并增强了领导者的信心.
- 这项干预措施导致了住院患者安全结果的可衡量的改善.
- 这种多学科模型显示了在各种医疗保健环境中适应的潜力,以支持患者安全倡议.
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