团队合作振兴发病率和死亡率会议
Neela Nataraj1, June Tome2, Melissa H Bogin3
1N. Nataraj is a hospitalist, Division of Hospital Medicine, MedStar Georgetown University Hospital, Washington, DC.
概括
团队合作原则改善了内科病发率和死亡率会议,提高了住院人员分析患者安全事件的技能,并促进了合作. 这种方法现在正在考虑其他住院课程领域.
科学领域:
- 医疗教育 医学教育
- 患者安全 患者安全
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 在内部医学 (IM) 发病率和死亡率会议 (M&M) 中,动态协作对于教育和患者安全目标至关重要.
- 传统的M&M会议可能无法充分利用复杂的医疗环境中的协作潜力.
研究的目的:
- 通过使用团队合作原则,振兴梅奥诊所的IM住院M&M.
- 提高居民识别,报告和分析患者安全事件 (PSE) 的技能.
- 促进居民和机构领导人之间的合作,以改善整个系统.
主要方法:
- 实施基于团队合作的M&M重新设计,由居民教师质量改善和患者安全 (QIPS) 委员会领导.
- 引入一个案件选择工具,QIPS理事会的案件审查,以及M&M的结构化时间表.
- 让跨专业机构领导人参与讨论与公共企业相关的全系统问题.
主要成果:
- 在居民识别PSE (77%至93.2%) 和分析PSE (59.5%至94.6%) 的能力方面,观察到显著的改善.
- 居民对报告PSE的信心增加了 (67.6%至97.2%),并且更强烈地相信M&M将改善未来的患者护理 (78.4%至94.6%).
- 大多数居民 (82.4%) 认为参与改进的M&M会改变他们未来的做法.
结论:
- 团队合作原则成功地改变了IM住宅M&M,加强了居民和领导之间的合作.
- 重新设计的M&M促进了有效的参与,并确定了全系统改进的机会.
- 团队合作框架显示了在居住课程的其他领域的应用潜力,这些领域需要动态的团队合作.
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