基于模拟的协作质量改进计划中的障碍,促进者和结果的定性评估:ImPACTS项目
Michelle J Alletag1, Shruti Kant2, Wendy L Van Ittersum3
1Department of Pediatrics, ChristianaCare Hospital System, Newark, DE.
在像ImPACTS这样的儿科急性护理模拟计划中成功合作,需要强有力的参与,沟通和支持. 了解这些关键驱动因素可以确保质量改进计划的有效实施和可持续性.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 医疗模拟 医疗模拟
- 儿科急救护理 儿科急救护理
背景情况:
- 通过模拟改善急性护理 (ImPACTS) 计划将儿科专科中心 (中心) 与一般急诊部 (GED) 合作,以加强儿科急性护理.
- 以前的研究集中在客观结果上,比如儿科准备成绩 (PRS) 的改善.
- 之前没有详细介绍ImPACTS项目参与的障碍,促进因素和下游影响.
研究的目的:
- 从中心和发言团队的角度探索ImPACTS项目参与的障碍和促进者.
- 确定成功合作的关键驱动因素,以模拟为基础的儿科急性护理计划.
- 了解项目参与对合作机构的下游影响.
主要方法:
- 与社区GED"发言人"的中心团队成员和儿科急诊协调员 (PECC) 进行半结构化采访.
- 利用开放式编码来分析采访数据.
- 确定并探讨与成功伙伴关系的障碍,促进者和缓解策略相关的主题.
主要成果:
- 四个主要主题出现了:买入,沟通,人事和物流.
- 参与,机构支持和领导层的支持对于计划的成功至关重要.
- 参与的中心和GED体验了包括改善儿科准备,加强教育和加强机构间伙伴关系在内的好处.
结论:
- 了解所有合作者的关键驱动因素对于实施像ImPACTS这样的大规模教育和质量倡议至关重要.
- 成功的伙伴关系是建立在共享的买入,有效的沟通,足够的人员和精简的物流上.
- 该ImPACTS计划展示了协作模拟计划对儿科急性护理的积极下游影响.
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