改善医院的患者安全文化:一个范围审查
Giulyane Targino Aires-Moreno1, Laís Garcia Marques1, Sheila Feitosa Ramos1
1Laboratory of Teaching and Research in Social Pharmacy (LEPFS), Health Sciences Graduate Program, Federal University of Sergipe, São Cristóvão, SE, Brazil.
Research in social & administrative pharmacy : RSAP
|June 12, 2025
概括
医院有效的患者安全文化策略需要团队合作和强有力的领导力. 专注于专业机构关系的长期干预 (超过一年) 产生了最好的临床和经济结果.
科学领域:
- 医疗保健管理的管理
- 患者安全研究 患者安全研究
- 组织心理学 组织心理学
背景情况:
- 患者安全文化对医疗保健质量至关重要,由个人和团体行为驱动.
- 了解有效的策略对于改善医院患者安全结果至关重要.
研究的目的:
- 分析改变医院环境中的患者安全文化的策略.
- 确定对患者安全和健康结果产生最显著影响的干预措施.
主要方法:
- 一个全面的范围审查的实验和准实验研究发表到2025年3月.
- 搜索了数据库 (Cochrane,Embase,PubMed,Scopus,Web of Science) 使用关键词:"患者安全"",安全管理"",组织文化"",实验或准实验研究"和"医院".
- 两名研究人员独立审查研究,第三名研究人员解决任何差异.
主要成果:
- 包括51项研究,按设计分类 (例如,17项前后,16项准实验,11项RCT).
- 教育策略 (60.8%) 是最常见的,其次是组织变革 (21.6%) 和合作工作 (17.6%).
- 很少有研究将策略与临床结果 (5) 或经济影响 (1) 联系起来.
结论:
- 强调卫生专业合作和团队合作的策略显著改善了患者安全文化.
- 持续跟进的干预措施最有效的时间超过一年.
- 优化专业人员和领导层之间的关系,以及临床和经济结果是关键.
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