一个共同制作的家庭报告干预措施,以改善安全监督和减少差异
Alisa Khan1,2, Jennifer Baird3, Sangeeta Mauskar1,2
1Division of General Pediatrics, Departments of Pediatrics and.
Pediatrics
|September 3, 2024
概括
家庭安全报告改善了住院儿童,特别是教育程度较低的儿童和COVID-19大流行期间的家庭安全报告,使用新的移动工具. 该工具捕获了许多工作人员报告中遗漏的问题,强调了家庭参与医疗保健安全的必要性.
科学领域:
- 儿科患者的安全性
- 医疗服务研究 医疗服务研究
- 提高健康素养 提高健康素养
背景情况:
- 医疗复杂的住院儿童面临着独特的安全挑战.
- 让家庭参与安全报告对于提高护理质量至关重要.
- 现有的报告系统往往忽略了家庭确定的担忧.
研究的目的:
- 评估医疗复杂性住院儿童的健康素养,家庭安全报告干预措施.
- 检查干预实施后家庭安全报告率的变化.
- 评估家庭使用移动工具发现的安全问题类型.
主要方法:
- 实施了联合制作的,以健康素养为基础的干预,包括移动报告工具和教育.
- 通过排放前调查和来自家庭的移动工具收集安全问题.
- 分类报告的事件和基线和干预组之间的比较报告率,包括子组分析.
主要成果:
- 整体家庭安全报告显示非显著增加 (29.5%基线与38.2%干预).
- 在没有大学教育的家庭中 (aOR 2.6) 和在COVID-19时代 (aOR 3.1) 中,报告显著增加.
- 移动工具发现了许多医疗错误和质量问题,这些问题没有被自愿事件报告所捕捉到.
结论:
- 家庭安全报告干预显示了特定子组的参与度增加,而不是整体.
- 移动工具有效地捕捉了传统员工报告所遗漏的安全事件.
- 医院应该积极地让家庭参与安全报告,以提高安全,质量和公平.
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