相关实验视频
医院认证类型和患者安全结果:全国比较
1Health Informatics & Information Management, College of St. Scholastica.
概括
医院认证类型,包括联合委员会和Det Norske Veritas医疗保健,在患者安全结果中没有显著差异. 更广泛的组织因素可能会影响安全绩效,而不仅仅是认证.
科学领域:
- 医疗保健管理的管理
- 患者安全研究 患者安全研究
- 质量改善倡议 质量改善倡议
背景情况:
- 医院认证是提高患者安全和质量的关键策略.
- 不同认证机构对医院绩效结果的影响需要进一步调查.
- 本研究检查了美国联合委员会 (TJC) 或Det Norske Veritas Healthcare认可的急症医院的患者安全结果.
研究的目的:
- 评估TJC或Det Norske Veritas医疗保健的医院认证是否与患者安全结果的显著差异有关.
- 为了比较由TJC和Det Norske Veritas医疗保健认可的医院在公开报告的患者安全指标上的表现.
- 根据国家基准来评估医院的绩效.
主要方法:
- 追溯性,横截面的研究设计.
- 包括1043家美国急症护理医院 (≥250张床位) 的认证数据与医疗保险和医疗补助服务中心的绩效数据合并.
- 分析了24个患者安全结果测量方法,使用Welch独立的2样t测试和1样t测试.
主要成果:
- 在24项措施中的23项中,TJC和Det Norske Veritas认可的医院之间没有发现患者安全结果的统计学上显著差异.
- 经过TJC认证的医院显示,心力衰竭死亡率明显降低 (P < .05).
- 这两个认证组都超过了关键感染相关措施的国家基准,包括CAUTI,CLABSI和C. difficile率.
结论:
- 医院认证类型不是患者安全结果变化的强有力的预测因素.
- 虽然认证对于合规性至关重要,但组织,运营和文化因素可能对驾驶安全性能产生更大的影响.
- 进一步的研究应该探索这些影响认可医院患者安全的更广泛因素.
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