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在NHS医疗保健专业人员中理解与事件报告系统的接触:一项跨部门研究
Uday Mahajan1, Salman Shoukat Ali Parpia2, Meraj Akhtar3
1Trauma and Orthopaedics, Queen Elizabeth Hospital Birmingham, Birmingham, GBR.
Cureus
|December 22, 2025
概括
由于实际和文化障碍,NHS医疗保健专业人员未充分利用事件报告系统. 提高培训和反可以提高参与度和患者安全.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 医疗信息学 医疗信息学
背景情况:
- 事件报告系统 (IRS) 对于英国国家卫生服务 (NHS) 的患者安全基础设施至关重要.
- 与Datix和Radar等国税局的接触在不同的专业角色和医疗保健环境中有很大差异.
- 了解这些变异对于优化患者安全机制至关重要.
研究的目的:
- 调查NHS医疗保健专业人员如何与事件报告系统互动.
- 确定阻碍这些安全工具有效参与的关键障碍.
- 收集医疗保健专业人员关于改善事件报告系统的建议.
主要方法:
- 一个横截面的,匿名的在线调查被管理到不同的医疗保健工作人员 (医生,护士,医疗保健专业人员,支持人员) 在一个大型的英国NHS医院.
- 调查问卷收集了有关系统熟悉度,使用模式,感知障碍和整体感知的数据.
- 定量数据被描述性地分析,而定性响应则经过主题分析.
主要成果:
- 73名医疗保健专业人员参加了会议,其中医生占多数.
- 虽然大多数参与者都熟悉美国国税局,但提交率很低,正式培训很少.
- 对报告的不一致反和对其对有意义变革的影响的不确定性是常见的;一些系统与责怪而不是安全有关.
结论:
- 由于实践和文化障碍的结合,NHS中的事件报告系统未得到充分利用.
- 提高参与度需要通过改善培训,简化报告程序和展示可见的组织学习来解决这些障碍.
- 优化IRS的使用可能会改变员工的看法,并促进更好的报告行为,最终改善患者的安全.
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