提高医疗复原力:用软系统方法论在急诊室讨论系统性药物错误
Flávia Silva de Souza1, Ana Carolina Sanches Zeferino1, Rebecca Thaffenne Santos Oliveira Nunes2
1Departamento de Engenharia de Produção, Universidade Federal Fluminense. R. Passo da Pátria 152-470, São Domingos. 24210-240 Niterói RJ Brasil. flaviass@id.uff.br.
Ciencia & saude coletiva
|June 25, 2025
概括
有效的药物管理提高了医疗保健系统的弹性和患者的结果. 软系统方法 (SSM) 确定了需要改进的关键领域,从而提高了安全性和有效性.
科学领域:
- 医疗保健管理的管理
- 系统工程 系统工程
- 患者安全 患者安全
背景情况:
- 药物管理对于医疗保健的弹性至关重要,但容易产生影响患者安全和治疗的错误.
- 药物管理的复杂性可能会损害患者的健康结果和治疗疗效.
研究的目的:
- 探索和改进医疗保健系统内的药物管理流程.
- 通过有效的药物管理策略,提高医疗保健系统的弹性.
主要方法:
- 雇佣的探索性和定性行动研究.
- 利用软系统方法 (SSM) 在三个阶段,包括CATWOE框架.
- 分析了二次数据,并与药物管理团队进行了采访.
主要成果:
- 定义了药物管理中的七个关键转型.
- 制定系统性建议,以提高处方可读性,需求驱动的采购,工作条件和团队经验.
- 鉴定出原因,并针对已识别的问题采取缓解措施.
结论:
- 软系统方法 (SSM) 在实现医疗保健系统弹性方面发挥着重要作用.
- 协作方法和综合解决方案对于优化药物管理至关重要.
- 该研究为提高患者安全和治疗疗效提供了可操作的见解.
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