TRANS-SAFE患者安全学习实验室:在跨性别护理中改善心理社会安全系统的协议
Tara N Cohen1, Jennifer T Anger2, Hanna Barton3
1Department of Surgery, Cedars-Sinai Medical Center, Los Angeles.
Journal of patient safety
|June 25, 2025
概括
本研究涉及对跨性别和性别非二元 (TGNB) 个体造成伤害的系统性原因. 跨安全患者安全学习实验室 (PSLL) 将共同设计和评估改善TGNB患者安全的干预措施.
科学领域:
- 患者安全科学 患者安全科学
- 系统工程是系统工程.
- 卫生公平性健康公平性
背景情况:
- 跨性别和性别非二元 (TGNB) 个体在医疗保健环境中经历了显著的心理社会伤害.
- 现有的患者安全研究在很大程度上忽视了TGNB人群面临的独特风险.
- 解决系统性伤害原因对于促进健康公平至关重要.
研究的目的:
- 识别和解决TGNB个人中心理社会伤害的系统性原因.
- 改善TGNB患者的安全和医疗保健体验.
- 建立一个可持续的框架,以减轻这群服务不足的人群的伤害.
主要方法:
- 一个为期四年的TRANS-SAFE患者安全学习实验室 (PSLL),采用六阶段系统工程方法.
- 系统的范围审查,与患者和提供者的采访,以及观察性研究.
- 与利益相关者共同设计以人为中心的解决方案,并与利益相关者一起反复开发和评估干预措施.
主要成果:
- 在临床环境中开发和评估干预措施的有效性,可接受性,可用性,可行性和可持续性.
- 与世界跨性别健康专业协会 (WPATH) 合作创建一个TRANS-SAFE认证流程.
- 专注于发现和干预措施的维持和传播.
结论:
- 本PSLL解决了患者安全科学中关于TGNB个体心理社会伤害的关键差距.
- 该研究将提供基于证据的策略,以减轻危害并改善高风险人群的护理.
- 结果将有助于推进患者安全实践和为边缘化社区进行研究.
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