一个基于系统的框架,以整合健康公平和患者安全
Joint Commission journal on quality and patient safety
|June 12, 2025
概括
衡量患者安全公平性是不发达的,特别是在面临更高伤害率的少数群体. 本研究引入了一个成熟度框架,以帮助卫生系统评估和改善患者安全公平.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者安全 患者安全
- 健康 公平 卫生 公平
背景情况:
- 衡量患者安全公平性是不发达的,尽管有记录在案的医疗保健获取和质量的差异.
- 少数民族患者,包括黑人患者,患有更高的可预防性伤害,如医院感染和药物错误.
- 现有的健康差异工具不足以评估患者安全事件和过程.
研究的目的:
- 确定卫生系统层面的患者安全公平措施.
- 为卫生系统制定初步成熟度框架,以评估和整合患者安全公平性.
- 为了解决衡量和解决安全差异的关键差距.
主要方法:
- 从2023年1月到2023年12月进行的文献综述.
- 专家小组与八位主题专家进行了接触.
- 基于文献和专家反的初步成熟度框架的开发.
主要成果:
- 为了更广泛地衡量健康公平性,存在多种工具,但很少有专门针对患者安全的工具.
- 开发了一个初步的成熟度框架,有三个级别 (基本,中级,高级) 和六个领域.
- 框架领域包括数据收集,验证,分析,沟通,解决公平差距和组织文化.
结论:
- 需要一个结构化的方法来系统地测量和改善患者安全公平.
- 拟议的框架为卫生系统推进其患者安全公平倡议提供了一步一步的指南.
- 该框架的进一步开发和验证是必要的,以支持卫生系统减少所有患者群体的可预防伤害.
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