紧急医疗服务中的人类错误:对促成因素的定性分析
Anna Poranen1, Anne Kouvonen2,3, Hilla Nordquist4,2,5
1Faculty of Medicine, University of Helsinki, Helsinki, 00014, Finland. anna.e.poranen@helsinki.fi.
概括
护理人员确定了在紧急医疗服务 (EMS) 中导致人为错误的因素,包括工作环境,组织问题和个人挑战. 系统层面的因素显著影响患者安全,需要积极的组织改进.
科学领域:
- 在医院前的急救护理.
- 医疗保健中的人类因素
- 患者安全研究的研究.
背景情况:
- 医院前的急救护理设置给护理人员带来了独特的挑战.
- 关于护理人员对导致人类错误的因素的观点的研究有限.
- 这项研究通过调查护理人员对人为错误因果关系的看法来弥补这一差距.
研究的目的:
- 从护理人员的角度探索和确定导致人为错误的因素.
- 了解工作环境,组织因素和人类错误中的个人护理人员特征之间的相互作用.
主要方法:
- 采用半结构化的个人访谈对芬兰15名护理人员和现场监督员进行定性研究.
- 使用诱导性内容分析进行的数据分析.
- 报告遵守了报告定性研究的综合标准 (COREQ).
主要成果:
- 人类错误因素分为: 1) 改变工作环境 (工作的性质,与任务相关的因素), 2) 工作组织 (护理指南,互动,技术) 和 3) 护理人员本身 (认知处理,个人需求,态度,经验).
- 系统层面的因素,以及个人因素,被发现会影响护理人员的工作.
- 具体的挑战包括不充分的指导方针,技术问题和认知处理困难.
结论:
- 在紧急医疗服务 (EMS) 中,有多种因素导致人为错误.
- 系统层面的因素显著影响护理人员的表现和患者安全.
- 调查结果为组织提供了洞察力,以积极提升程序和提高患者安全.
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