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手术团队对印尼医院手术安全检查清单实施的看法:一项描述性的定性研究
Inge Dhamanti1,2, Ika Nur Pratiwi2,3, Muhammad Miftahussurur4,5
1Department of Health Policy and Administration, Universitas Airlangga Fakultas Kesehatan Masyarakat, Surabaya, Jawa Timur, Indonesia inge-d@fkm.unair.ac.id.
BMJ open
|June 11, 2025
概括
手术安全检查清单 (SSC) 提高了患者的安全,但印尼仍然面临合规性和团队合作等挑战. 专业组织必须加强其在促进SSC的作用,以获得更好的医疗保健成果.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 改善外科手术的质量
背景情况:
- 手术安全检查清单 (SSC) 是一项全球倡议,旨在提高手术程序的安全性和专业间的沟通.
- 有限的研究存在于SSC实施挑战,成功因素,以及在印度尼西亚的专业组织的作用.
- 这项研究通过探索印度尼西亚外科团队对SSC的观点来解决这一差距.
研究的目的:
- 调查在印度尼西亚实施手术安全清单的挑战,成功因素,影响和专业组织的作用.
- 了解手术团队对SSC实施的看法.
- 确定改善SSC采用和有效性的战略.
主要方法:
- 进行了一项描述性的定性研究.
- 有目的的抽样选择了来自手术团队和专业组织的13名参与者.
- 通过深入采访收集数据,并使用专题分析进行分析.
主要成果:
- 参与者认识到SSC对患者安全的积极影响,但合规性,团队合作和不安全的行为仍然是挑战.
- 机构支持,医院认证,教育,安全委员会,审计和工作负载管理被确定为关键的成功因素.
- 印度尼西亚的专业组织在促进SSC方面发挥的作用很小.
结论:
- 有效的SSC实施需要多层次的战略 (微,中,宏).
- 克服障碍和利用专业组织对于标准化SSC实践至关重要.
- 通过改进SSC实施来提高患者安全是最终目标.
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