如何开始和维持一个基于系统的高可靠性医学企业为您的关键护理组织
1Case Western Reserve University, Department of Anesthesiology and Perioperative Medicine at University Hospitals Cleveland, 11100 Euclid Avenue, Cleveland, OH 44106, USA.
关键护理组织 (CCOs) 通过采用高可靠性组织 (HRO) 原则,可以提高患者安全并减少错误. 这篇文章指导了CCO在实施和维护HRO实践方面,以提高医疗保健结果.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 组织心理学 组织心理学
背景情况:
- 医疗机构越来越多地采用高可靠性组织 (HRO) 范式,以改善结果和安全.
- 大型医疗系统正在通过整合多个重症监护病房,形成重症监护组织 (CCO).
- CCOs为在重症监护机构内实施HRO方法提供了一个独特的机会.
研究的目的:
- 介绍核心的高可靠性组织 (HRO) 概念.
- 将HRO原则用于重症监护环境的背景.
- 为CCO提供指导,以启动和维持高可靠性倡议.
主要方法:
- 关于高可靠性组织 (HRO) 原则的文献综述.
- 关键护理组织 (CCO) 结构的分析.
- 在CCO中实施HRO的概念框架开发.
主要成果:
- "关注失败"和"尊重专业知识"等HRO原则直接适用于重症监护.
- 常规运营商可以利用他们的综合结构来培养安全和可靠性的文化.
- 建议CCO采用分阶段的方法来采用和嵌入HRO实践.
结论:
- 医疗保健中心有很好的位置,可以从采用HRO原则中获益,以提高患者安全.
- 成功实施需要领导层的承诺和对文化变革的系统方法.
- 采用HRO方法可以使重症监护服务和结果得到显著改善.
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