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缓解大流行后果的策略在外科手术期间的专业性
Joint Commission journal on quality and patient safety
|November 6, 2024
概括
随着COVID-19大流行,外科手术期间的专业性显著增加,影响了员工的流动. 干预措施成功地减少了营业额,突出了提高工作场所文化和留住员工的战略的必要性.
科学领域:
- 医学研究 医学研究
- 医疗保健管理的管理
- 外科手术的安全性
背景情况:
- 全球范围内,COVID-19大流行在医疗保健系统中创造了前所未有的挑战.
- 术前环境中的专业精神对于患者安全和团队凝聚力至关重要.
- 评估疫情对医疗保健专业人士的影响对于了解系统漏洞至关重要.
研究的目的:
- 为了评估COVID-19大流行对外科外科外科外科外科外科外科外科外科外科外科外科外科外科外科外科外科外科外科外科外科外科外科外科外科外科外科外科外科外科外科外科外科外科外科外科外科外科外科外科外科外科外科外科外科外科外科外科外科外科外科外科外科外科外科外科外科.
- 为了比较与专业性相关的事件 (PRE) 在流行病前,流行病和流行病阶段.
- 评估干预对员工流动和专业性的影响.
主要方法:
- 使用安全事件报告 (SER) 数据库进行回顾性比较队列研究.
- 从三级癌症中心对三个不同的时间段的SER分析.
- 范德比尔特专业化升级模型的实施和在流行病阶段的员工教育.
主要成果:
- 在大流行期间,与大流行前和流行期间相比,观察到PRE的统计学上显著增加.
- 每月的专业性相关事件 (PRE) 从1.1 (大流行前) 增加到4.5 (大流行) 和2.9 (流行性).
- 在大流行期间,员工流动增加了 (15.5%),但干预后显著减少了 (6.7%).
结论:
- COVID-19 流行病与外科手术期间护理的专业性缺失增加相关.
- 医院组织必须解决专业主义对士气和营业额的影响.
- 专注于教育,问责制,健康和弹性方面的干预措施可以改善工作场所的文化和 retention.
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