安全文化和人为因素在外来物体管理中的外科手术中的安全文化和人为因素
Sam Cromie1, Alison Kay1, Katie O'Byrne1
1Centre for Innovative Human Systems (CIHS), School of Psychology, Trinity College Dublin, D02 PN40 Dublin, Ireland.
Healthcare (Basel, Switzerland)
|September 13, 2025
概括
外来物体在手术中的保留是一个复杂的问题,受到安全文化和人为因素的影响. 了解这些元素对于有效的异物管理和患者安全至关重要.
科学领域:
- 医疗安全 医疗安全
- 手术手术手术手术手术手术手术手术手术手术
- 医疗保健管理的管理
背景情况:
- 解决了外来物体在手术过程中保留的持续挑战.
- 探讨了为这个问题做出贡献的关键的人类和安全文化因素.
研究的目的:
- 报告了外国物体保留-减少和缓解 (FOR-RaM) 研究项目的研究结果.
- 旨在识别和理解爱尔兰医院外来物体管理的挑战.
- 建议策略,以减轻异物保留.
主要方法:
- 在手术环境中进行的定性行动研究研究.
- 利用与医院工作人员的半结构面试.
- 包括结构化观察和动作学习集用于数据验证.
主要成果:
- 确定了影响外来物体管理的关键安全文化和人类因素.
- 突出了目标,流程,文化,团队合作,信息管理和培训的影响.
- 这些发现强调了防止保留的外科器件的复杂性.
结论:
- 安全文化和人为因素显著影响异物管理.
- 有效的战略需要解决超越个人行动的系统性问题.
- 建议侧重于改进流程,团队合作和培训,以提高患者安全.
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