参与严重事件调查:英格兰NHS信托政策的定性文献分析
Siobhan McHugh1, Gemma Louch2, Katherine Ludwin3
1Leeds Beckett University, PD402, Portland Building, Leeds Beckett University, City Campus, Leeds, LS1 3HE, UK. Siobhan.McHugh@leedsbeckett.ac.uk.
BMC health services research
|October 9, 2024
概括
医疗保健事件调查政策往往没有涉及受影响者. 改进政策语言可以通过积极纳入利益相关者的经验来增强组织学习并减少伤害.
科学领域:
- 医疗保健政策分析 政策分析
- 患者安全研究 患者安全研究
- 组织学习 组织学习
背景情况:
- 从医疗保健事件向全系统学习的转变强调涉及受影响的个体.
- 了解有关严重事故调查的当地政策对于有效的患者安全至关重要.
研究的目的:
- 探讨英语NHS政策文件中严重事件受影响者的参与是如何表现的.
- 确定制定政策的指导方针,以促进对调查的有意义参与.
主要方法:
- 对43个地方严重事件调查政策的文献分析.
- 在英格兰NHS的急性和心理健康服务中检查了政策.
主要成果:
- 受影响个人的参与在政策中基本上不存在或被动地描述.
- 从事件中吸取教训是优先考虑的,但缺乏明确性,重点是对参与式解构和重建的建议.
- 政策强调通过遵守"公正文化",而不是从利益相关者的经验中学习.
结论:
- 更有效的政策代表利益相关者参与的原因可以改善组织的学习和减少伤害.
- 政策文件的结构元素显著影响其框架和接收.
- 政策制定者需要制定医疗保健政策,通过真正的参与,促使采取有意义的行动.
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