一个概念框架,用于识别和管理在医疗保健中转移受控物质的系统漏洞
Maaike deVries1, Linda McGillis Hall2, Katie Dainty1
1Institute of Health Policy, Management and Evaluation, University of Toronto, 155 College Street, Suite 425, Toronto, Ontario, M5T 3M6, Canada; Research & Innovation, North York General Hospital, 4001 Leslie Street, Toronto, Ontario, M2K 1E1, Canada.
这项研究制定了一个框架,以确定医院中控制物质转移的系统漏洞. 了解这些因素,包括任务,人,工具,组织和环境,是防止转移和保护患者和工作人员的关键.
科学领域:
- 医疗保健系统分析分析
- 药物的安全性 药物的安全性
- 药品安全性 药品安全性
背景情况:
- 控制物质的转移和盗窃在医疗保健中构成了重大全球挑战.
- 现有的系统往往缺乏强大的机制来识别和解决导致药物转移的漏洞.
研究的目的:
- 制定一个全面的框架来识别和描述系统层面的因素,有助于控制物质转移在医院.
- 提供一种分析药物使用过程易受转移的工具.
主要方法:
- 采用了定性框架方法,涉及各种医院环境 (药房,ED,ICU) 的直接观察和风险分析.
- 漏洞被系统地编码成主题和子主题,使用演和归纳方法.
- 基于确定的主题,构建了一个概念框架.
主要成果:
- 开发的转移框架强调需要重新设计上游系统因素,以减轻下游转移结果.
- 确定了导致转移风险的五大系统因素的主题:任务,人,工具/技术,组织和内部环境.
- 详细介绍了20个特定的子主题,如过程变化,内部知识,技术限制,文化规范和空间布局.
结论:
- 转移框架作为实践者,研究人员和决策者确定系统漏洞的概念模型.
- 它有助于分析易于转移的药物使用过程,并为制定有效保护措施提供信息.
- 实施这一框架可以帮助预防对患者,医疗保健工作者和医疗保健机构的伤害.
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