将公平纳入事件报告和患者关注系统:一个关键的解释综合
Joanne Goldman1,2,3, Leahora Rotteau4,5, Lisha Lo4
1Centre for Quality Improvement and Patient Safety, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada joanne.goldman@utoronto.ca.
医院事件报告系统必须整合公平,以有效地解决患者的伤害. 目前的系统有可能使不平等现象持续存在,这凸显了在患者安全研究和实践中需要采用包容性方法的需要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者安全 患者安全
- 健康 公平 卫生 公平
背景情况:
- 医院事件报告和患者关注系统对于患者安全至关重要,但往往缺乏公平整合.
- 这种监督可能会掩盖或延续健康不平等,阻碍全面的患者伤害检测和响应.
研究的目的:
- 分析当前关于医院事件报告和患者关注系统的研究中如何解决公平问题.
- 确定系统地将公平纳入患者安全倡议的策略.
主要方法:
- 进行了批判性解释合成,涉及诱导分析和解释.
- 在CINAHL,EMBASE,MEDLINE和PsycINFO数据库中进行文献搜索,截至2024年2月.
- 利用了社会科学,患者安全和卫生服务研究方面的支持文献.
主要成果:
- 对包含的30篇文章的分析揭示了四个与股权相关的主题.
- 主题1:知识不公正影响安全事件的识别和记录.
- 主题2:偏见和歧视影响安全事件的可报道性.
- 主题3:数据分层为识别与股权相关的损害模式提供了潜力和挑战.
- 主题4:像恢复和人权方法这样的替代框架可以解决不平等问题.
结论:
- 结果指导事件报告和患者关注系统的改进,例如扩大伤害定义和提高可访问性.
- 采用超越传统风险管理的恢复性方法可以使伤害变得人性化,并促进患者安全方面的公平.
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