在家庭息护理中预期错误报告的可行性:混合方法研究
Allison M Kurahashi1, Grace Kim2, Natalie Parry1
1Temmy Latner Centre for Palliative Care, Sinai Health, Toronto, ON, Canada.
Palliative medicine
|October 21, 2024
概括
在家庭息护理中实施错误报告是可行的. 如果数据能提高患者安全,医生会报告错误,但高认知负担和对惩罚的恐惧是障碍.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者安全研究的研究.
- 抚慰性护理创新 抚慰性护理创新
背景情况:
- 错误报告系统对于提高患者安全至关重要.
- 对于在家庭息护理环境中实施此类系统的理解有限.
研究的目的:
- 评估一个错误报告系统在加拿大家庭息护理计划中的可行性.
- 确定影响错误报告采用和有效性的因素.
主要方法:
- 一种融合的混合方法方法,结合了前性错误记录,每月调查和半结构面试.
- 来自多伦多一家居息护理组织的13名医生参与了这项研究.
- 来自错误报告,调查和采访的数据被分析和整合.
主要成果:
- 报告了195个错误,其中33%涉及内部人员或系统.
- 影响报告的关键因素包括认知负担 (负面影响),将错误视为学习机会 (积极影响),以及对患者安全的感知影响 (积极影响).
结论:
- 当错误报告明显改善患者安全时,医生会接受错误报告.
- 家庭息护理的协作性质为将错误报告转化为改善患者安全结果带来了独特的挑战.
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