一个基于SEIPS的分析,以了解产后出血期间的安全文化
Kaitlyn L Hale-Lopez1, Madelyn M Saenz1, Neelam Verma2
1Department of Industrial and Enterprise Systems Engineering, Grainger College of Engineering, University of Illinois Urbana-Champaign, Urbana, IL 61801, USA.
Healthcare (Basel, Switzerland)
|March 13, 2025
概括
美国的孕产妇死亡率很高,产后出血是关键因素. 通过更好的人员配置,沟通和团队合作来改善安全文化,可以减少分娩期间的风险.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 产科 产科 产科 产科 产科
背景情况:
- 美国的孕产妇死亡率惊人高,超过其他高收入国家.
- 产后出血是主要的,但可以治疗的,如果及时管理,导致母亲死亡的原因.
研究的目的:
- 利用系统工程倡议患者安全 (SEIPS) 模型来分析社会技术系统在产后出血期间对安全文化的影响.
- 确定影响产后出血事件期间患者护理的障碍和促进因素.
主要方法:
- 与29名参与产后出血护理的临床医生进行了采访和焦点小组.
- 采用感应分类来绘制社会技术系统新出现的特性所识别的障碍和促进者的地图.
主要成果:
- 确定了45个障碍和158个促进者,涉及安全文化的五个新兴属性:人员配置,沟通,管理/领导,流程和团队合作.
- 鉴定出了更多的促进因素而不是障碍因素,这表明安全文化对临床医生的行动具有主要的积极影响.
结论:
- 产后出血期间的安全文化可以通过重新设计工作系统来加强.
- 减轻人员,沟通,组织管理和团队工作方面的障碍对于改善安全文化和患者结果至关重要.
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