共同设计爱尔兰国家质量和患者安全能力框架:从定性探索性研究的见解
Dimuthu Rathnayake1, Louise Hendrick2, Veronica Hanlon2
1UCD Centre for Interdisciplinary Research, Education and Innovation in Health Systems (UCD IRIS), School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland. Dimuthu.Rathnayake@ucd.ie.
BMC health services research
|December 5, 2025
概括
爱尔兰现在有一个国家质量和患者安全导航框架,通过共同设计开发. 这一能力框架阐明了医疗保健专业人员的基本技能和行为,以确保高质量,安全的患者护理.
科学领域:
- 医疗保健质量和患者安全
- 医疗卫生工作人员发展发展
- 竞争力框架 竞争力框架
背景情况:
- 质量和患者安全 (QPS) 能力对于应对复杂的医疗环境至关重要.
- 现有的能力框架在各个国家加强了QPS,但爱尔兰缺乏国家框架.
- 应对劳动力短缺和复杂的患者需求等挑战,需要对QPS采取结构化的方法.
研究的目的:
- 为爱尔兰共同设计一个基于证据的国家质量和患者安全能力框架.
- 澄清安全和高质量的患者护理所需的知识,技能和行为.
- 为在爱尔兰卫生系统中支持医疗服务的医疗保健专业人员建立一个框架.
主要方法:
- 一个全面的范围审查映射了现有的QPS能力.
- 共同设计涉及到广泛的利益相关者参与,包括Delphi调查和代研讨会.
- 定性方法专注于利益相关者的参与,以塑造框架.
主要成果:
- 在18个月的时间里,89个不同的利益相关者参与了结构化的共同设计过程.
- 确定了五个主题子组:QPS文化,人力因素/团队组建/沟通,质量管理/学习,安全/风险管理和事件管理.
- 这个过程的高潮是爱尔兰国家质量和患者安全导航框架.
结论:
- 通过共同设计和定性研究,为爱尔兰的医疗保健工作人员制定了一个全面的,基于证据的QPS能力框架.
- 该框架整合了利益相关者的见解,确保在各种环境中具有相关性和可行性.
- 这种系统的方法增强了共同设计过程和框架的适用性.
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