开发经过验证的,特定于环境的患者报告体验测量 (PREM) 工具,以提高印度的质量和患者安全
Lallu Joseph1, Rahul Deshmukh2, Malathi Murugesan3
1Quality Manager and Associate General Superintendent, Christian Medical College Vellore, Vellore, Tamilnadu, India.
BMJ open quality
|August 8, 2025
概括
患者报告经验测量 (PREMs) 被重新使用,以创建可验证的工具来提高患者安全. 在护理过程中共同生产这些工具可以提高患者参与度和安全性.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者安全研究 患者安全研究
- 医疗保健服务研究 医疗服务研究
背景情况:
- 患者报告经验测量 (PREM) 提供了对患者护理感知有价值的见解.
- 在微观层面上,为了提高患者安全性,PREMs的实施有限.
- 重用PREM是一种解决患者安全问题的新方法.
研究的目的:
- 共同制作经过验证的,特定于背景的PREM工具.
- 通过应用PREMs来提高患者的安全性.
- 改善患者参与安全倡议.
主要方法:
- 在8个月的时间里,采用了前性的混合方法方法.
- 17个关键的患者护理过程被确定为PREMs工具开发.
- 多学科团队完成了程序和问卷,患者参与了验证.
主要成果:
- 成功开发了17个检查清单格式的PREMs工具.
- 所有工具都显示出强烈的内容有效性 (I-CVI: 0.73-1.00,CVR: 0.46-1.00,S-CVI/AVG: 0.89-1.00).这些工具的内容有效性很强.
- 可靠性分析 (KR-20) 显示大多数工具的内部一致性很好,除了"防摔".
结论:
- 已经开发了一套以患者安全为导向的PREMs工具.
- 在护理过程中共同生产PREM具有显著的患者安全潜力.
- 这些工具可以促进患者安全实施和患者参与.
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