工程安全护理旅程:设计一个患者安全护照
Nicole E Werner1, Maureen Smith2, Rachel A Rutkowski3
1Vanderbilt University School of Medicine, Nashville, Tennessee.
Journal of patient safety
|July 31, 2025
概括
参与式的人类因素工程方法确定了患者安全护照 (PSP) 的关键设计准则和要求. 该护照旨在提高患者在护理过渡期间的安全性,特别是在急诊室.
科学领域:
- 人类因素工程 人类因素工程
- 患者安全 患者安全
- 卫生系统设计 卫生系统设计
背景情况:
- 护理过渡是潜在的患者危害的关键点.
- 现有的系统往往缺乏综合的患者信息,导致安全差距.
- 建议建立患者安全护照 (PSP),以改善信息流动和过渡期间的安全.
研究的目的:
- 确定患者安全护照 (PSP) 的设计准则和要求.
- 通过参与式的人类因素工程 (HFE) 方法,提高护理过渡点的患者安全.
- 在PSP设计过程中整合多个利益相关者的需求.
主要方法:
- 采用了工作系统分析和参与式设计过程.
- 方法包括认知面试,上下文调查,基于团队的分析和代码设计会议.
- 对临床医生进行了半结构化的采访,并对急诊室患者进行了观察.
主要成果:
- 完成了29次临床采访和20次患者/临床观察.
- 在急诊室内,护理过渡过程被绘制出地图.
- 确定了21种类型的工作系统障碍/促进因素,导致PSP的5个设计准则和5个设计要求.
结论:
- 一种参与式的HFE方法成功地确定了PSP设计的关键元素.
- 开发的指导方针和要求对于PSP设计至关重要.
- 虽然专注于ED,但PSP在护理过渡期间具有更广泛的适用性,以提高患者安全弹性.
关键词:
这就是SEIPS.护理过渡 护理过渡紧急情况部门的急救部门.人类因素工程 人类因素工程年长的成年人.参与式设计是一种参与式设计.患者的旅程 患者的旅程患者安全护照护照患者为中心,以患者为中心.更多相关视频
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