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使用安全手术检查清单的障碍:一线医务人员的观点
Marianne Palm1, Geir Sverre Braut2,3
1Oslo University Hospital, Oslo, Norway.
SAGE open medicine
|September 24, 2024
概括
医疗保健工作者发现使用世界卫生组织的障碍.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 手术干预 手术干预
背景情况:
- 世界卫生组织于2008年推出了安全手术检查清单,以提高手术过程中的患者安全.
- 检查清单被证明可以减少临床环境中的不良事件.
- 检查清单的实施在各个机构之间存在差异,甚至在同一组织的不同部门内存在差异.
研究的目的:
- 确定前线医疗保健人员认为障碍于有效使用安全手术检查清单的因素.
- 了解医疗保健工作人员在遵守既定安全协议时面临的挑战.
主要方法:
- 采用了基于案例的定性研究设计.
- 专注于工人的经验的危险识别方法被用于发现安全隐患.
主要成果:
- 确定了与检查清单内容,应用范围,责任分配和组织安全管理有关的障碍.
- 调查结果表明,检查清单应扩展到非手术室干预和紧急治疗.
- 系统视角的重要性和对偏差的公开讨论得到了强调.
结论:
- 尽管人们普遍同意检查清单的必要性,但许多周围因素阻碍了它们的一致使用.
- 通过危险识别方法揭示的特定现场因素,显著影响了对清单的遵守.
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