Mick JoAnn M, Wood Geri L, Massey Robert L
Department of Nursing Research and Evidence Based Practice, The University of Texas M. D. Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, TX 77030, USA.
J Nurs Adm. 2007 Nov;37(11):499-503. doi: 10.1097/01.NNA.0000295611.40441.1b.
With only 175 reports submitted into an available close call reporting system during 2.5 years, the Good Catch Program was implemented to promote 3 strategies: (1) changing terminology from "close call" to "good catch," (2) implementing an "end-of-shift safety report," and (3) executive leadership sponsored incentives. The authors discuss the program and its positive outcomes in increasing potential error reporting.
在2.5年的时间里,仅有175份报告提交至一个可用的医疗安全隐患报告系统,因此实施了“及时捕捉计划”以推行三项策略:(1)将术语“医疗安全隐患”改为“及时捕捉”;(2)实施“班次结束安全报告”;(3)由行政领导提供激励措施。作者讨论了该计划及其在增加潜在错误报告方面的积极成果。