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加拿大医疗保健领域的工作生活与患者安全文化:利用国家认证结果连接质量要点。

Work life and patient safety culture in Canadian healthcare: connecting the quality dots using national accreditation results.

作者信息

Mitchell Jonathan I

机构信息

Accreditation Canada, Ottawa, Canada.

出版信息

Healthc Q. 2012;15(1):51-8. doi: 10.12927/hcq.2012.22765.

Abstract

Fostering quality work life is paramount to building a strong patient safety culture in healthcare organizations. Data from two patient safety culture and work-life questionnaires used for Accreditation Canada's national program were analyzed. Strong team leadership was reported in that units were doing a good job of identifying, assessing and managing risks to patients. Seventy-one percent of respondents gave their unit a positive overall grade on patient safety, and 79% of respondents felt that they could often do their best-quality work in their job. However, healthcare workers felt that they did not have enough time to do their jobs adequately and indicated that co-workers were cutting corners in patient care in order to save time. This article discusses engaging both senior leadership and the entire organization in the change process, ensuring supervisory support, and using performance measures to focus organizational efforts on key priorities all as improvement strategies relevant to these findings. These strategies can be used by organizations across sectors and jurisdictions and by healthcare leaders to positively affect work life and patient safety.

摘要

培养优质的工作生活对于在医疗保健机构建立强大的患者安全文化至关重要。对用于加拿大认证机构国家项目的两份患者安全文化和工作生活调查问卷的数据进行了分析。报告显示团队领导力很强,各单位在识别、评估和管理患者风险方面做得很好。71%的受访者对所在单位的患者安全总体给予了积极评价,79%的受访者认为他们在工作中经常能够尽自己最大的努力做好工作。然而,医护人员觉得他们没有足够的时间充分完成工作,并指出同事们为了节省时间在患者护理中偷工减料。本文讨论了让高层领导和整个组织都参与变革过程、确保监督支持以及使用绩效指标将组织的努力集中在关键优先事项上,所有这些都是与这些发现相关的改进策略。这些策略可被跨部门、跨辖区的组织以及医疗保健领导者用于积极影响工作生活和患者安全。

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