工作系统分析紧急护士患者流量管理使用系统工程倡议的患者安全模型:应用从一个接地理论研究的结果
Ellen Benjamin1,2, Karen K Giuliano3
1Elaine Marieb College of Nursing, University of Massachusetts Amherst, Amherst, MA, United States.
JMIR human factors
|December 10, 2024
概括
由于个人,技术和环境因素,急诊护士在管理患者流动方面面临复杂的挑战. 改善患者流动需要系统方法和医疗保健专业人员之间的协作.
科学领域:
- 医疗保健系统工程 系统工程
- 护理科学 护理科学
- 人类因素工程 人类因素工程
背景情况:
- 紧急护士在管理急诊室内患者流动方面发挥着至关重要的作用.
- 有效的患者流量管理对于及时,高效和安全的患者护理至关重要.
- 关于护理在患者流量管理中的作用的研究有限,需要对紧急护理工作系统进行更深入的分析.
研究的目的:
- 描述影响急救护士患者流动管理的工作系统因素.
- 应用患者安全系统工程倡议 (SEIPS) 模型来分析这些因素.
主要方法:
- 使用了有根据的理论方法.
- 数据收集包括焦点小组,27名护士的采访和4个急诊室64小时的参与者观察.
- 分析涉及编码,不断比较分析和备忘录撰写,由SEIPS工作系统组件组织.
主要成果:
- 患者流动受到护理特征,技术,外部因素以及物理/社会组织环境的影响.
- 人们对技术功能,可用性,可访问性,部门能力,资源配置和部门间团队合作提出了担忧.
- 还注意到员工角色的变化,供应商参与决策,以及管理层对时间指标的执行.
结论:
- 显著的障碍阻碍了紧急病人的流量管理.
- 需要进一步的研究来量化人为因素对患者流动结果的影响.
- 管理人员,人力因素工程师和护士之间的合作对于提高紧急护理工作系统至关重要.
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