在牙买加两家三级医院为患者安全提供管理支持:一项混合方法研究
Camelia Thompson1, Desmalee Holder Nevins1, Dawn Walters1
1Department of Community Health and Psychiatry, The University of the West Indies, Mona, Jamaica.
PLOS global public health
|October 10, 2025
概括
管理层对患者安全的支持对于优质护理至关重要. 这项研究发现只有51.57%的积极评分,突出了牙买加医院需要改进的战略,以加强安全文化和管理参与.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 组织文化 组织文化
背景情况:
- 有效的管理支持对于实施政策和培养安全患者护理文化至关重要.
- 对医疗机构来说,评估管理层在患者安全和质量改善中的作用至关重要.
研究的目的:
- 确定两个牙买加三级医院的管理文化和安全支持.
- 探索高级管理人员参与质量和质量改进计划.
主要方法:
- 一项混合方法研究,涉及328名医生和护士 (定量) 和17名高级管理人员 (质量).
- 收集关于社会人口统计,工作特征和管理支持患者安全的定量数据.
- 通过深入采访收集的定性数据,探索管理人员在质量保证和改进中的角色.
主要成果:
- 管理层支持患者安全的整体积极评分为51.57%.
- 积极分数的预测因素包括员工职位,机构和主要工作区域.
- 护士报告的阳性得分高于医生;机构B和特定单位 (事故和紧急情况,放射学/实验室) 显示出更好的支持.
结论:
- 医疗机构需要明确的战略和强大的系统,以提高质量.
- 医院董事会应优先考虑质量讨论和行动,以确保最佳的患者结果.
- 解决员工职位和部门之间管理支持的差异对于提高患者安全文化至关重要.
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