探索一种共同设计的医疗保健质量改善方法 - - 通过发育评估学习
Katharina Kovacs Burns1,2, Marian George3
1Clinical Quality Metrics, Data & Analytics, Alberta Health Services, Edmonton, AB T5J 3E4, Canada.
Healthcare (Basel, Switzerland)
|February 13, 2025
概括
涉及患者和工作人员的通用联合设计方法对医疗保健质量改善 (HQI) 有效. 这种可行和可持续的方法可以提高患者的参与度和在不同环境中提供护理.
科学领域:
- 医疗保健管理的管理
- 提高质量 提高科学 提高质量
- 患者参与 患者参与
背景情况:
- 医疗保健团队在定义和实施医疗保健质量改进 (HQI) 战略方面面临着挑战.
- 关键问题涉及测量,利益相关者参与和HQI的方法方法.
- 研究了一种通用的共同设计方法来解决这些复杂性.
研究的目的:
- 确定HQI倡议的通用联合设计方法的可行性.
- 让患者,家人,多学科的护理提供者和工作人员参与HQI.
- 通过使用发育评估,在各种护理环境中评估这种方法的有效性,挑战和经验.
主要方法:
- 22个急症和社区护理机构参与了分阶段的共同设计方法,并嵌入了发展评估.
- 为每个护理设置团队提供了共同设计指导和支持.
- 与17名患者/家庭顾问 (PFAs) 和68名员工/护理提供者进行了半结构化访谈和焦点小组,并对成绩单和观察笔记进行了专题分析.
主要成果:
- 在整个HQI联合设计过程中,参与者的理解,参与和开放的沟通至关重要.
- 导向阶段对于积极的结果至关重要.
- 参与者重视协作工作,实时体验集成,并将PFA视角纳入HQI倡议的共同设计中,尽管时间承诺存在挑战.
结论:
- 对于HQI举措,一种通用的共同设计方法被发现在各种护理环境中是有效的,可行的和可持续的.
- 发展评估证实了该方法在各种医疗环境中的成功.
- 该研究支持共同设计在改善医疗保健质量的广泛适用性.
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