在喀麦隆实施创伤质量改善:质量利益相关者分析
Dennis J Zheng1, Olivia First1, Fanny N Dissak-Delon2
1Program for the Advancement of Surgical Equity (PASE), Department of Surgery, University of California Los Angeles, California.
The Journal of surgical research
|July 13, 2025
概括
创伤质量改善 (QI) 计划可以提高低收入国家的患者护理. 尽管存在诸如资源限制等挑战,但利益相关者参与和包容性方法是成功实施和改善健康结果的关键.
科学领域:
- 全球健康 全球健康
- 医疗保健管理的管理
背景情况:
- 创伤质量改善 (QI) 对创伤系统至关重要,但在低收入和中等收入国家 (LMICs) 中未得到充分利用.
- 利益相关者的参与对于成功实施QI至关重要.
- 在喀麦隆的四家医院试行了一项创伤智商计划.
研究的目的:
- 评估创伤智商程序的感知价值.
- 了解QI参与对患者护理的影响.
- 确定在喀麦隆QI计划成功的促进者和障碍者.
主要方法:
- 一个多学科委员会 (24名员工) 接受了QI培训,并在两年内进行了根本原因分析.
- 与16名委员会成员进行了半结构面试.
- 采访数据被转录,翻译,诱导编码,并由三个编码器分析.
主要成果:
- 参与者报告说,职业责任和对卫生系统的理解增加了.
- 患者护理的改善包括标准化紧急护理,减少延误和更好的资源配置.
- 主要障碍是系统性资源限制,非参与者的负面看法和审查;同行案例讨论受到高度重视.
结论:
- 在喀麦隆,创伤智商被认为是加强劳动力能力和改善护理的有效手段.
- 在LMICs中成功实施QI需要与当地可行性和包容性员工参与保持一致.
- 对未来努力的建议包括培养非惩罚性文化,更广泛的员工参与,以及加强激励措施.
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