关于实践团队如何在初级保健中组织事件分析的Delphi分析
Karena Hanley1, Duncan McNab2, Paul Bowie2
1NHS Education for Scotland, Edinburgh, UK karena.hanley@nhs.scot.
BMJ open quality
|July 14, 2025
概括
这项研究开发了英国一般实践中学习事件分析的质量指标. 德尔菲方法使初级保健团队参与创建自我评估工具,改进实践流程和团队参与.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 初级保健研究研究初级保健研究
- 医学教育 医学教育
背景情况:
- 显著事件分析是英国一般医师 (GP) 在质量改进 (QI) 活动中的一个关键部分.
- 目前缺乏标准化的指导和测量工具,阻碍了GP事件分析的有效性.
- 这项研究解决了需要一个验证的工具来评估GP事件分析过程.
研究的目的:
- 建立一套质量指标,用于初级保健中的重大事件分析 (SEA).
- 开发一个工具,使通用实践团队能够自我评估他们的SEA流程.
- 在苏格兰一般实践中为事件分析提供最佳实践的发展提供信息.
主要方法:
- 采用了经过修改的Delphi方法,涉及有目的地选择经验丰富的初级保健团队成员.
- 进行了两轮调查,根据共识得分和汇总的评论,对项目进行了细化.
- 通过代反和参与者之间达成共识,确定了质量指标.
主要成果:
- 在24名参与者中,有10人完成了整个Delphi过程.
- 最初调查中的17个项目达到了共识分数,建议一个新项目.
- 在合并和第二轮讨论之后,16个声明中有15个达到了共识.
结论:
- 实践者更喜欢"学习事件分析"而不是"重大事件分析"的术语.
- 实践护士可能需要有针对性的鼓励,以便更多地参与事件分析.
- 人们不愿意让患者或患者代表直接参与分析过程.
更多相关视频
10:02Event Related Potentials ERPs and other EEG Based Methods for Extracting Biomarkers of Brain Dysfunction: Examples from Pediatric Attention Deficit/Hyperactivity Disorder ADHD
Published on: March 12, 2020
15.9K
06:16Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting
Published on: June 6, 2020
3.9K
相关概念视频
Methods of Documentation IV: Focus Charting
1.1K
Focus Charting, also known as the focus charting system or "focus documentation," is a systematic documentation approach used in healthcare to organize patient information in medical records.
It typically involves three columns for recording information:
It typically involves three columns for recording information:
1.1K
Methods of Documentation VI: Case Management Model
629
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
629
Planning Nursing Care I
4.8K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
4.8K
Interdisciplinary Care: The Health Care Team-II
1.5K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
1.5K
Ethical Dilemmas II
1.3K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
1.3K
Nursing Assessment
8.1K
The two sources for collecting information are primary and secondary. After gathering information, interpretation and validation help to complete the data. The purpose of assessment is to establish data with the initial information, to interpret data about the patient's perceived needs and health problems, and to respond to these problems identified.
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments...
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments...
8.1K
