探索高可靠性组织实施对患者处理伤害率的影响:一个横截面研究
Michael Joshua G Morales1,2, Pauline Hilton3, OiSaeng Hong4
1University of California, San Francisco, San Francisco, CA, USA. Michaeljoshua.morales@ucsf.edu.
高可靠性组织 (HRO) 计划没有减少医护人员的病人处理伤害 (PHI). 足够的人员和设施类型是预防PHI的关键因素.
科学领域:
- 医疗保健工作人员的安全.
- 职业健康 职业健康 职业健康 职业健康
- 组织安全组织安全.
背景情况:
- 患者处理伤害 (PHI) 是医疗保健工作者在工作场所受伤的主要原因.
- 高可靠性组织 (HRO) 计划旨在提高安全性,防止医疗机构的错误.
研究的目的:
- 检查HRO计划的实施与直接护理人员中PHI的比例之间的关系.
- 调查影响医疗保健设施内PHI率的因素.
主要方法:
- 一项横截面研究分析了来自124个退伍军人卫生管理局 (VHA) 设施的数据.
- 根据项目持续时间和气候,对HRO的实施进行了评估.
- 使用负二项式回归模型,调整员工比例,设施类型,规模和复杂性.
主要成果:
- HRO的实施 (持续时间和气候) 与PHI率没有显著的关联.
- 较高的员工对患者比率与较低的PHI率相关.
- 门诊护理设施的PHI率低于急性护理设施;更复杂的设施报告了更高的PHI率.
结论:
- 该研究发现,HRO实施与直接护理人员的PHI之间没有显著的联系.
- 调查结果强调了足够的人员数量在预防伤害方面的重要性.
- 设施类型和临床复杂性应在PHI预防策略中考虑.
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