通过多学科团队合作和沟通干预改善成人医疗科室的安全文化：TOPS项目
Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project.
作者信息
Blegen M A, Sehgal N L, Alldredge B K, Gearhart S, Auerbach A A, Wachter R M
机构信息
Community Health Systems Department, School of Nursing, University of California, San Francisco, 2 Koret Way, Box 0608, San Francisco, CA 94143, USA.
出版信息
Qual Saf Health Care. 2010 Aug;19(4):346-50. doi: 10.1136/qshc.2008.031252.
AIM
The goal of this project was to improve unit-based safety culture through implementation of a multidisciplinary (pharmacy, nursing, medicine) teamwork and communication intervention.
METHOD
The Agency for Healthcare Research and Quality Hospital Survey on Patient Safety Culture was used to determine the impact of the training with a before-after design.
RESULTS
Surveys were returned from 454 healthcare staff before the training and 368 staff 1 year later. Five of eleven safety culture subscales showed significant improvement. Nurses perceived a stronger safety culture than physicians or pharmacists.
CONCLUSION
While it is difficult to isolate the effects of the team training intervention from other events occurring during the year between training and postevaluation, overall the intervention seems to have improved the safety culture on these medical units.
目的
本项目的目标是通过实施多学科（药学、护理、医学）团队合作与沟通干预措施来改善基于科室的安全文化。
方法
采用医疗保健研究与质量机构的医院患者安全文化调查，通过前后设计来确定培训的影响。
结果
培训前有454名医护人员回复了调查问卷，1年后有368名人员回复。11个安全文化子量表中的5个显示出显著改善。护士感知到的安全文化比医生或药剂师更强。
结论
虽然很难将团队培训干预的效果与培训和评估后这一年中发生的其他事件的影响区分开来，但总体而言，该干预措施似乎改善了这些医疗科室的安全文化。
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