对英格兰医院培训干预措施进行集群随机评估,以增加统计过程控制图的使用:使数据计数
Kelly Ann Schmidtke1,2, Laura Kudrna3, Laura Quinn3
1Liberal Arts and Basic Sciences, University of Health Sciences and Pharmacy in St Louis, Saint Louis, Missouri, USA Kelly.Schmidtke@uhsp.edu.
BMJ quality & safety
|September 5, 2024
概括
在英国医院对统计过程控制 (SPC) 图表的培训干预并没有显著增加其使用,而与全国性的倡议相比. 然而,SPC图表的采用在所有参与医院都增加了.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 医疗服务研究 医疗服务研究
- 临床过程监测临床过程监测
背景情况:
- 统计过程控制 (SPC) 图表对医院质量计划有效,区分预期变化和异常值.
- 开发了一项培训干预措施,以促进英格兰NHS医院的SPC图表采用.
- 该研究评估了这一培训,作为促进SPC图表的更广泛的国家努力的一部分.
研究的目的:
- 评估英格兰医院SPC培训干预措施的有效性.
- 为了比较接受培训的医院与对照组的SPC图表使用情况.
- 评估实习生对SPC培训计划的反.
主要方法:
- 一个平行集群随机试验涉及16家英国NHS医院,其中一半接受了SPC培训.
- 主要分析比较了SPC图表在医院董事会论文中的使用随机化后,根据基线进行调整.
- 通过使用利克特尺度和开放式问题收集了实习生反.
主要成果:
- 在干预和对照医院,SPC图表的使用增加了 (分别增加了29%和30%的点数).
- 干预组和对照组之间在使用SPC图表方面没有发现统计学上显著的差异 (9%的绝对差异).
- 据报道,高受训者肯定学习 (93.9%) 和意图改变行为 (97.0%).
结论:
- 在所有医院中,SPC图表的使用量都增加了,这表明国家倡议可能会产生"潮"或污染效应.
- 培训干预对SPC图表采用的具体影响在统计学上并不显著.
- 需要进一步的研究来优化SPC培训,并将其实施与有形的质量和安全结果联系起来.
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