在医疗保健中对不良事件调查的患者观点
Rachel I Dijkstra-Eijkemans1, Linda J Knap2,3, Nieke A Elbers4,5
1Tilburg Law School, Tilburg University, PO Box 90151, Tilburg, 5000 LE, the Netherlands. r.i.dijkstra@uu.nl.
BMC health services research
|September 10, 2024
概括
患者和近亲 (P/N) 想参与不良事件调查,评估机构和需要被听取. 他们的参与对学习至关重要,也是更广泛的医疗保健关系的一部分.
科学领域:
- 医疗保健的质量和安全.
- 患者的倡导和参与.
- 定性研究方法 定性研究方法
背景情况:
- 在不良事件调查中,患者和近亲 (P/N) 角色的认可越来越多.
- 在这些关键事件调查中,对P/N视角的研究有限.
- 需要了解P/N希望参与严重不良事件审查.
研究的目的:
- 调查P/N和患者代表对参与不良事件调查的看法.
- 确定P/N希望参与的程度和原因.
- 探索P/N希望如何塑造他们参与调查的情况.
主要方法:
- 使用P/N (个人) 的采访进行定性研究.
- 与客户委员会 (机构) 代表的重点小组.
- 与荷兰患者联合会 (全国) 的采访.
- 感应主题分析与数据源三角测定用于验证.
主要成果:
- 医院的举措赋予了P/N作为合法利益相关方的权力,提供了一个声音.
- P/N 评估了他们如何以及是否参与调查的选择.
- 研究被视为更大的患者医院关系的一部分,包括持续护理.
- 患者视角揭示了不良事件调查是嵌入在更广泛的患者体验.
结论:
- 对不良事件的调查是患者和医院之间持续关系的组成部分,从启动到后续护理.
- 医院必须主动地让P/N参与调查及其参与.
- 参与的P / N动机源于对代理 (积极参与) 和共融 (被听取) 的渴望.
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