Ther Clin Risk Manag. 2005 Dec;1(4):321-32.
The delivery of safe high quality patient care is a major issue in clinical settings. However, the implementation of evidence-based practice and educational interventions are not always effective at improving performance. A staff-led behavioral management process was implemented in a large single-site acute (secondary and tertiary) hospital in the North of England for 26 weeks. A quasi-experimental, repeated-measures, within-groups design was used. Measurement focused on quality care behaviors (ie, documentation, charting, hand washing). The results demonstrate the efficacy of a staff-led behavioral management approach for improving quality-care practices. Significant behavioral change (F [6, 19] = 5.37, p < 0.01) was observed. Correspondingly, statistically significant (t-test [t] = 3.49, df = 25, p < 0.01) reductions in methicillin-resistant Staphylococcus aureus (MRSA) were obtained. Discussion focuses on implementation issues.
在临床环境中，提供安全、高质量的患者护理是一个主要问题。然而，实施基于证据的实践和教育干预措施并不总是能有效地提高绩效。在英格兰北部的一家大型单一地点急性（二级和三级）医院，实施了为期 26 周的员工主导的行为管理流程。采用了准实验、重复测量、组内设计。测量重点是优质护理行为（即文档记录、图表绘制、洗手）。结果表明，员工主导的行为管理方法对于改善优质护理实践是有效的。观察到显著的行为变化（F [6, 19] = 5.37，p < 0.01）。相应地，耐甲氧西林金黄色葡萄球菌（MRSA）的数量也显著减少（t 检验 [t] = 3.49，df = 25，p < 0.01）。讨论集中在实施问题上。
