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选择和定制实施策略,以消除美国医院的防摔警报:一组概念绘图研究
Kea Turner1,2, Mona Al Taweel3, Carrie Petrucci4
1The University of North Carolina at Chapel Hill School of Nursing, Chapel Hill, NC, USA kea.turner@unc.edu.
医院可以通过修改员工角色和政策,有效地消除防摔警报. 根据员工反开发的定制策略是成功减少报警计划的关键.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者安全研究的研究.
- 实施科学 实施科学
背景情况:
- 防摔报警器在医院被广泛使用,尽管其有效性的证据有限.
- 停止实施无效干预措施对于优化患者护理和资源配置至关重要.
研究的目的:
- 识别和选择用于消除防摔报警的策略.
- 收集利益相关方的反,以根据当地医院环境定制脱离实施策略.
主要方法:
- 集团概念绘制 (GCM) 涉及13家医院的90名医院工作人员进行头脑风暴,并评估实施策略.
- 在22家医院的192名医院工作人员组成的网站特定焦点小组,讨论实践,障碍和促进者.
- 根据GCM和重点小组的发现,制定定制的实施方案.
主要成果:
- 确定的主要策略包括修改员工角色 (例如移动技术人员) 和针对定制的跌倒预防措施的政策.
- 利益相关者的反突出了特定地点的相关性和地方的障碍/促进者.
- 量身定制的套餐包括核心策略 (例如,促进,教育) 和特定地点的方法.
结论:
- 研究结果为未来的计划和政策提供了基础,这些计划和政策的重点是消除防摔警报的实施.
- 基于证据的撤销策略可以提高医院的安全性和效率.
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