改善临床团队的交叉学习,使用每日现场反思会议来改善临床团队的交叉学习
Nawal Khattabi1, Ros Axel2, Reem AlAbdulmalik1
1Risk Management and Patient Safety Department, Primary Health Care Corporation, Doha, Qatar.
Frontiers in health services
|October 10, 2025
概括
在初级保健中实施弹性绩效增强工具包 (RPET) 通过日常反思改善了患者安全和团队学习. 这种方法促进了组织的弹性和医疗保健机构的积极性质量改善.
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
- 组织学习 组织学习
背景情况:
- 传统的患者安全学习侧重于失败,而当代方法则强调从成功的日常工作中学习.
- 在医疗保健中,从成功的日常操作中学习的优先级较低,缺乏基于事件的学习的紧迫性.
- 采用新的方法和思维方式对于组织来说至关重要,以扩大学习策略超越失败.
研究的目的:
- 描述一家多站点初级保健机构中弹性绩效增强工具包 (RPET) 的实施经验.
- 探索RPET对团队适应,交叉学习和实时反思的影响.
- 评估结构化每日反思会议在提高患者安全和组织学习方面的有效性.
主要方法:
- 弹性性能增强工具包 (RPET) 通过结构化的每日反思会议来实施.
- 在27个健康中心 (HC) 收集了定性反和主题观察.
- 该研究追踪了从最初引入到2023年的采用率和会议频率稳定.
主要成果:
- 七个早期采用者网站 (29个团队) 保持一致的RPET实践,尽管流行病的破坏.
- 团队报告了增强的患者安全,沟通和团队学习.
- 关键的好处包括改善团队合作,风险识别和员工士气,以及时间限制等挑战.
结论:
- 嵌入日常反思实践与RPET加强了组织的学习和弹性.
- 这种方法有助于在医疗保健中转向积极主动的,符合安全II的战略.
- 在动态的临床环境中,RPET提供了一种持续改进的实用方法.
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