对产妇护理中患者安全事件报告实践的系统审查
Emma Beecham1, Gráinne Brady2, Syka Iqbal2,3
1Department of Targeted Intervention, University College London, London, UK e.beecham@ucl.ac.uk.
改善产妇护理中患者安全事件报告需要用户友好的系统和支持的文化. 解决报告不足问题和加强反机制对于更好的患者结果至关重要.
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
- 孕产妇健康系统 孕产妇健康系统
背景情况:
- 报告患者安全事件对于改善医疗保健至关重要,但在产妇护理方面面临挑战.
- 报告实践和系统功能的变化可能会阻碍有效性.
- 尽管采用了电子系统,但报告不足,缺乏反和组织学习不足仍然存在.
研究的目的:
- 在全球范围内探索在产妇护理中报告患者安全事件.
- 识别现有的报告系统,障碍物和支持者.
- 突出产妇患者安全方面的研究和实践差距.
主要方法:
- 来自七个国家的15项研究的系统审查.
- 利用人工智能文本分析工具 (Caplena) 来进行数据合成.
- 包括定量,定性和混合方法的方法.
主要成果:
- 报告系统从纸质到电子平台各不相同.
- 障碍包括组织文化,时间限制和不足的平台.
- 激励因素包括领导力支持,培训和用户友好的系统;差距包括不充分报告近乎失误和缺乏反.
结论:
- 一致的,用户友好的报告系统和非惩罚性的文化是必不可少的.
- 改进的反机制对于提高报告实践至关重要.
- 需要系统改进,文化变化和进一步的研究,以优化产妇护理中的事件管理.
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