患者安全指标集:优先考虑,考虑医疗保健弹性进行决策,以及实施成功
Silke Kuske1, Andreas Beckmann1, Janina Kitzka1
1Fliedner Fachhochschule Düsseldorf, University of Applied Sciences, Düsseldorf, Germany.
这项研究开发了一个框架和决策辅助工具,以优先考虑患者安全指标. 这有助于创建核心集并适应危机情况,提高医疗保健的弹性.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者安全研究 患者安全研究
- 医疗服务管理 医疗服务管理
背景情况:
- 患者安全指标对于提高医疗保健质量至关重要.
- 制定一套标准化,全国性的这些指标核心是必不可少的,但复杂.
- 现有的指标集可能缺乏适应危机情况的适应性.
研究的目的:
- 概念化国家核心患者安全指标集的优先级和要求.
- 开发一个决策辅助工具,以适应核心设置,以提高危机期间的医疗保健弹性.
- 为成功实施患者安全指标确定关键因素.
主要方法:
- 一个混合焦点小组设计,涉及4个指导在线访谈.
- 使用半结构化讨论和问卷.
- 使用内容和描述性分析来解释数据.
主要成果:
- 制定了一个优先考虑患者安全指标的框架,考虑利益相关者的需求,改进潜力,上下文,质量和可实施性.
- 创建了一个决策辅助工具,用于在危机事件期间调整核心集,并被认为是合适的.
- 建议采用模块化系统,以便在各种场景中灵活地适应核心集.
结论:
- 开发的框架和决策辅助工具使得患者安全指标能够根据环境确定优先级并进行调整.
- 这些工具支持创建核心指标集及其在医疗保健危机期间的战略使用.
- 为了更广泛的采用,建议对框架,决策辅助和标准进行进一步的现实世界的验证.
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