探索患者安全文化和改进机会:在荷兰儿科重症监护病房的一项混合方法研究
Kajal U D Autar1,2, Ada van den Bos-Boon1, Gwen G M van Heesch1
1Department of Neonatal and Pediatric Intensive Care, Erasmus MC Sophia, Rotterdam, The Netherlands.
从2009年到2023年,儿科重症监护室 (PICU) 的患者安全文化得到了改善,但压力识别和管理方面的挑战仍然存在. 关键建议侧重于沟通,设备和人员,以持续增强.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 儿科重症监护 儿科重症监护
背景情况:
- 医院面临高风险情况,增加了医疗错误的可能性.
- 强有力的患者安全文化对于减少错误至关重要.
- 这项研究调查了儿科重症监护室 (PICU) 的患者安全文化趋势和改进策略.
研究的目的:
- 随着时间的推移,识别PICU内患者安全文化的趋势.
- 探索可行的策略,以改善患者安全文化.
- 评估工作人员提出的建议的相关性和可行性.
主要方法:
- 混合方法设计结合了定量和定性方法.
- 从2009年到2023年使用安全态度调查问卷 (SAQ).
- 进行了员工采访和专家小组审查,以评估建议.
主要成果:
- 从2009年到2023年观察到的患者安全文化的整体改善.
- 需要进一步关注的具体领域,如压力识别和管理层的看法.
- 最重要的建议集中在专业间的沟通,医疗设备,工作条件和人员配置上.
结论:
- 研究的PICU的患者安全文化有所改善,但仍然需要有针对性的干预措施.
- 持续的进步需要不断投资于沟通,工作场所条件和人员配置.
- 工作人员提出的可行的策略为提高安全文化和患者结果提供了路线图.
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