通过采用实用的弹性医疗保健方法来提高养老院的安全性
Christine W Hartmann1, Valerie Clark2, Princess Nash3
1VA Center for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, Bedford, MA, USA; Department of Public Health, Zuckerberg College of Health Sciences, University of Massachusetts Lowell, Lowell, MA, USA.
概括
养老院可以通过采用弹性医疗保健方法来提高安全性. 基于证据的LOCK计划帮助前线工作人员应对复杂的日常挑战,以确保安全,高质量的护理.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 组织心理学 组织心理学
背景情况:
- 养老院面临着持续的安全挑战,尽管有许多干预措施.
- 传统的安全模型通常将错误视为源于可识别和可纠正的系统缺陷.
- 需要转向理解复杂,动态的医疗环境中的安全性.
研究的目的:
- 为护理院安全引入弹性医疗保健视角.
- 将基于证据的LOCK计划作为一个实际的实施工具.
- 支持前线工作人员管理日常复杂性,以改善护理.
主要方法:
- 通过LOCK计划运行弹性医疗保健原则.
- 提供支持前线人员的结构和流程.
- 专注于适应系统层面的变化,以保持持续的质量.
主要成果:
- 洛克计划为养老院提供了一个实用的框架.
- 它使员工能够管理日常工作中的不确定性和权衡.
- 实施支持对影响医疗服务的复杂因素的导航.
结论:
- 具有弹性医疗保健的观点对于解决养老院持续存在的安全问题至关重要.
- 洛克计划为提高安全提供了一个可行的,基于证据的战略.
- 支持前线人员的适应是保持复杂系统中高质量的护理的关键.
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