建立一个公正的文化:对退伍军人健康管理局的影响 实现高可靠性的旅程
Keith Essen1, Christy Villalobos1, Gary L Sculli2
1Cognosante, Falls Church, Virginia.
概括
在医疗保健中实施正义文化原则可以提高患者的安全性和结果. 这项研究确定了在退伍军人卫生管理局 (VHA) 高可靠性组织 (HRO) 倡议中建立公正文化的主要促进者和障碍.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者安全研究 患者安全研究
- 组织心理学 组织心理学
背景情况:
- 退伍军人卫生管理局 (VHA) 旨在成为一个高可靠性组织 (HRO),以提高患者护理.
- 建立安全文化是这一转型中的一个关键目标.
- 识别和实施必要的参数和目标对于服务增强至关重要.
研究的目的:
- 了解影响建立和维持公正文化的因素.
- 确定改善实施公正文化的具体方法.
- 加强医疗保健机构内的心理安全和问责制.
主要方法:
- 进行了一项质量改善计划.
- 聚焦小组与16个VHA医院设施的高可靠性组织 (HRO) 领导举行了聚焦小组.
- 确定了新兴的主题,促进者和障碍.
主要成果:
- 根据HRO领导的投入,确定了五个关键的促进者,障碍和建议.
- 实施策略可能会提高护理标准和患者的治疗结果.
- 利益相关者的持续奉献和合作对于整合建议至关重要.
结论:
- 该研究提供了关于在医疗保健中启动和维持公正文化的见解.
- 该方法可以作为更广泛的高可靠性组织 (HRO) 在VHA和其他机构的整合的蓝图.
- 建议不断评估安全文化,正确的文化实践和患者的结果.
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