在当今医疗环境中维持全系统安全文化的综合战略
Haley Hlela1, Kristin Neiswender
1Author Affiliations: Nursing & Clinical Care Services, Children's Hospital of Philadelphia (Mrs Hlela); and Center for Healthcare Quality & Analytics, Children's Hospital of Philadelphia (Mrs Neiswender), Philadelphia, Pennsylvania.
Journal of nursing care quality
|August 21, 2025
概括
改善医疗保健安全文化需要持续评估和基于证据的战略. 一种更新的方法提高了工作人员的信心,并报告了良好的捕获,这表明安全感受发生了积极的转变.
科学领域:
- 医疗保健管理
- 组织心理学
- 患者安全
背景情况:
- 组织文化是共享价值观和行为产生的产物,
- 医疗保健的动态性需要持续监测文化趋势和事件.
研究的目的:
- 实施和评估一项全面的战略,以改善医疗保健环境中的安全文化.
- 培养一个非惩罚性的环境,让员工感到舒适地报告错误和差点失误.
主要方法:
- 一项为期12个月的干预计划,每月和每季度开展活动,重点是评估安全文化,建立关系,传播新的安全语言和行为.
- 让正式和非正式的领导人参与推动采用新的安全规范.
- 在干预期间持续接触安全计划.
主要成果:
- 工作人员认为错误不会被追究.
- 报告中的"好捕获"数量增加了65%,这表明安全意识提高了.
- 这些结果可以作为安全文化战略成功的潜在代理措施.
结论:
- 持续评估安全文化对于确定需要改进的领域至关重要.
- 建议采用全面的,以证据为基础的,包容性的战略,并进行持续的再评估,以加强安全文化.
- 积极参与和领导的支持是成功转变安全文化的关键组成部分.
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