质量改善和患者安全循环 - - 心胸外科手术的新范式
Joel Bierer1, Edgar Chedrawy1, Christine Herman1
1Division of Cardiac Surgery, Department of Surgery, Dalhousie University, Halifax, Nova Scotia, Canada.
Annals of thoracic surgery short reports
|January 10, 2025
概括
质量改善和患者安全 (QIPS) 计划通过标准化不良事件分析来提高心胸外科手术护理. 这促进了透明度,并确定了系统问题,以改善患者的治疗结果.
科学领域:
- 心胸外科手术 心胸外科手术
- 改善医疗保健质量 改善医疗保健质量
- 患者安全 患者安全
背景情况:
- 心脏胸部医疗保健服务面临的挑战是患者的不良结果.
- 现有的质量评估受到机构异质性和惩罚性文化的阻碍.
- 质量改善和患者安全 (QIPS) 计划是为了解决这些缺陷而制定的.
研究的目的:
- 介绍和描述质量改善和患者安全 (QIPS) 计划.
- 突出QIPS在心胸外科手术中的透明度和不良事件分析方面的重点.
- 通过网络研讨会介绍QIPS方法的传播.
主要方法:
- 该QIPS程序使用Donabedian模型和护理阶段不良事件分析.
- 它强调透明的审查过程,收集人口统计数据,事件因素和转折点.
- 在两个胸部外科医生协会网络研讨会上介绍了QIPS方法.
主要成果:
- 2021年12月的网络研讨会吸引了来自13个国家的75个独特观众,播放了343次.
- 2022年8月的网络研讨会有来自9个国家的38个独特观众,并有310个回放.
- 网络研讨会数据表明,QIPS计划的兴趣和影响力很大.
结论:
- 标准化的QIPS方法使得病率和死亡率的根源原因分析得以一致.
- 该程序有助于创建数据库,以识别和解决系统问题.
- 在心胸外科手术中,QIPS促进了一种可重复的,以患者为中心的质量文化.
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