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医院准备实施非技术技能外科培训计划的评估:混合方法研究
Egide Abahuje1, Christophe Mpirimbanyi2, Gilbert Rutayisire3
1Department of Cardiac Surgery, University of Michigan, Ann Arbor, Michigan, USA.
卢旺达的外科团队认为外科医生非技术技能 (NOTSS) 培训是适当的, 然而,缺乏人力和资源限制阻碍了该患者安全计划的持续实施.
科学领域:
- 医疗保健管理
- 手术安全
- 患者护理质量
背景情况:
- 外科医生的非技术技能 (NOTSS) 对手术期间的患者安全至关重要.
- 维持NOTSS培训计划的实施需要了解组织的准备.
- 本研究涉及评估和调查影响NOTSS实施可持续性的因素.
研究的目的:
- 量化评估外科医生对持续实施NOTSS的准备情况的看法.
- 质量地探索影响NOTSS培训计划成功实施的因素.
主要方法:
- 在卢旺达11家医院进行了一项混合方法研究 (2022年3月至2023年10月).
- 使用安全手术组织准备工具 (SSORT) 和安全态度问卷后补习课程收集的定量数据.
- 通过与经过培训的外科医生进行半结构面试和聚焦小组收集的定性数据.
主要成果:
- 477名参与者 (94. 5%的响应率) 完成了调查,51. 9%是女性.
- 整体SSORT得分为4. 01 (IQR: 3. 68- 4. 28),NOTSS培训的适当性较高 (中位数为5,IQR: 4. 5-5).
- 对医院准备工作的满意度与安全气候 (aOR:1.02) 和团队工作气候 (aOR:1.05) 相对相关.
- 质量主题:NOTSS适用于患者安全,人力不足的挑战,领导支持和资源限制.
结论:
- 卢旺达的外科医疗服务提供者认为NOTSS培训是合适的,
- 资源不足和工作过度负面影响了医院对NOTSS实施的能力.
- 解决资源和人员问题是维持NOTSS培训和提高患者安全的关键.
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