评估SinergiAPS,基于患者反的干预措施,以提高初级保健中的患者安全:一个集群随机试验
Maria Antònia Fiol-deRoque1,2, José María Valderas3,4,5, María Jesús Serrano-Ripoll6,7
1Health Research Institute of the Balearic Islands (Idisba), Palma, Spain. mariaantonia.fiol@ssib.es.
BMC medicine
|April 6, 2025
概括
SinergiAPS干预措施没有改善初级医疗保健中心的患者安全. 由于COVID-19的流行,安全改进计划的实施受到重大影响.
科学领域:
- 医疗保健的质量 医疗保健的质量
- 患者安全研究 患者安全研究
- 初级卫生保健干预措施 初级卫生保健干预措施
背景情况:
- 患者安全对于医疗保健质量至关重要,但仍然是一个全球性挑战.
- 在医疗保健中可预防的伤害需要有效的干预措施.
- 初级医疗保健 (PHC) 设置是患者安全倡议的关键.
研究的目的:
- 评估SinergiAPS的有效性,以患者为中心的审计和反干预.
- 评估SinergiAPS对西班牙医疗保健中心患者安全文化和结果的影响.
主要方法:
- 一个为期12个月的集群随机对照试验,涉及59个卫生保健中心和1053名专业人员.
- 干预组获得了SinergiAPS (反报告,教育材料,行动计划模板).
- 测量结果包括患者安全文化 (MOSPSC) 和患者报告的安全性 (PREOS-PC).
主要成果:
- 干预组和对照组之间患者安全文化 (MOSPSC) 没有显著差异.
- 患者报告的安全性和可避免的住院病例没有改善.
- 定性访谈显示,COVID-19大流行阻碍了干预措施的实施.
结论:
- 在COVID-19大流行期间,SinergiAPS没有改善西班牙PHC中心的患者安全.
- 疫情对医疗保健能力的影响限制了安全计划的制定和执行.
- 尽管面临挑战,但SinergiAPS干预措施显示出高度的可接受性和感知效用.
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