医院干预的组织理论
Tiffany Ngo1,2, Jennifer Baird3, Sangeeta Mauskar1,4
1Division of General Pediatrics, Department of Pediatrics, Boston Children's Hospital, Boston, Massachusetts.
一项医院家庭安全报告干预措施通过增加家庭报告的担忧,改善了患者的安全. 复杂干预的关键教训包括强有力的伙伴关系,量身定制的沟通,灵活性和对健康公平的承诺.
科学领域:
- 改善医疗保健 改善医疗保健
- 患者安全 患者安全
- 健康 公平 卫生 公平
背景情况:
- 开发复杂的基于医院的干预措施需要了解关键原则.
- 以前的方法可能无法完全整合患者和家庭的观点.
研究的目的:
- 分享从开发和实施医院家庭安全报告干预措施中学到的教训.
- 评估干预对家庭报告的安全事件的影响.
主要方法:
- 使用案例研究方法,与合作伙伴共同制作干预措施.
- 应用了健康公平,沟通科学,健康素养和组织行为原则.
- 评估了干预培训率和家庭报告安全事件的变化.
主要成果:
- 培训了208个家庭,149名护士,42名住院医生和7名主治医生.
- 家庭报告的安全问题在干预后每月从0.4增加到4.4.
- 关键的教训包括建立伙伴关系,定制信息,拥抱灵活性和优先考虑公平.
结论:
- 健康公平,沟通科学,健康素养和组织行为原则可以指导有效的医院干预.
- 成功实施需要深层次的伙伴关系,定制的信息,灵活性和对公平的承诺.
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