整形外科专业内的患者安全文化研究:一个范围审查
Debbie S Wright1,2, Maranda Kleppe3, Brian C Coleman4
1Parker University, 2540 Walnut Hill Ln, Dallas, TX, 75229, USA.
Chiropractic & manual therapies
|October 22, 2025
概括
这篇综述强调了手术治疗患者安全文化研究的进展和差距. 未来的努力应侧重于领导力,政策和专业间的参与,以改善患者的结果和信任.
科学领域:
- 医疗保健研究 医疗保健研究
- 患者安全 患者安全
- 整形手术医疗 整形手术医疗
背景情况:
- 在医疗保健中,强有力的患者安全文化对于减少伤害和改善结果至关重要.
- 本范围审查审查考察了在手术专业内患者安全文化研究的当前状态.
研究的目的:
- 为了确定关键的主题,趋势和研究差距在医疗手术患者安全文化.
- 将发现与已建立的患者安全框架进行比较,并建议未来的研究方向.
主要方法:
- 在5个数据库中进行了全面的文献搜索,截至2024年12月.
- 包括同行评审的英语研究,关于手术治疗患者安全文化的研究.
- 数据被提取并进行了定性和定量分析,结果由外部顾问审查.
主要成果:
- 包括65篇文章 (1990-2024年),涵盖诸如不良事件报告,安全态度和办公室消毒等主题.
- 研究主要涉及安全性能 (95%) 和流程 (81%),较少关注信念和价值观 (23%).
- 与世卫组织框架相比,在患者参与,政策,领导和专业间合作方面发现了差距.
结论:
- 手术患者安全文化研究中存在重大进展和缺陷,特别是在领导和政策方面.
- 未来的研究必须优先考虑基于证据的干预措施,透明度和患者/提供者安全.
- 直接的利益相关者参与对于有效地将患者安全纳入脊椎治疗专业至关重要.
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