系统安全:识别促进者,障碍物和失败模式,以在产后病房提供优质的患者护理
Tosin B Akintunde1, Nicole A Hicks1, Myrtede C Alfred1
1Department of Mechanical and Industrial Engineering, University of Toronto, Toronto, ON, Canada.
产后护理单位的障碍,如沟通不良和患者教育不清楚,阻碍了优质的护理. 促进者包括知情同意和可访问的工具,可以提高患者的安全性和支持医疗保健工作者.
科学领域:
- 产科和妇科 产科和妇科
- 医疗保健管理的管理
- 患者安全 患者安全
背景情况:
- 产后期对于生育父母的福祉至关重要.
- 住院产后护理包括监测,治疗,母乳养支持和教育.
- 识别影响护理质量的系统因素对于改善至关重要.
研究的目的:
- 确定影响卫生保健工作者 (HCW) 工作和在产后单位提供护理的障碍和促进因素.
- 了解住院产后护理期间医疗保健工作者和分娩父母所面临的挑战.
主要方法:
- 来自美国一所学术医院产后病房的观察数据的二次分析.
- 使用系统工程和患者安全倡议2.0模型和医疗保健绩效改进分类法编码的障碍和促进者.
主要成果:
- 确定了87个障碍物和18个促进者.
- 常见的障碍:HCW的沟通问题,患者教育不足,空间限制和技术不足.
- 促进者:为HCW提供知情同意和可访问的教育工具.
结论:
- 这些发现可以指导产后单位的设计和改进.
- 改进可以提高患者安全,并支持医疗保健工作者提供以患者为中心的护理.
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