Hemingway Maureen White, O'Malley Catherine, Silvestri Sandra
AORN J. 2015 Apr;101(4):404-12; quiz 413-5. doi: 10.1016/j.aorn.2015.01.002.
Surgical errors are under scrutiny in health care as part of ensuring a culture of safety in which patients receive quality care. Hospitals use safety measures to compare their performance against industry benchmarks. To understand patient safety issues, health care providers must have processes in place to analyze and evaluate the quality of the care they provide. At one facility, efforts made to improve its quality and safety led to the development of a robust safety program with resources devoted to enhancing the culture of safety in the Perioperative Services department. Improvement initiatives included changing processes for safety reporting and performance improvement plans, adding resources and nurse roles, and creating communication strategies around adverse safety events and how to improve care. One key outcome included a 54% increase in the percentage of personnel who indicated in a survey that they would speak up if they saw something negatively affecting patient care.
作为确保患者获得优质护理的安全文化的一部分，手术失误在医疗保健领域受到密切关注。医院采用安全措施将其绩效与行业基准进行比较。为了理解患者安全问题，医疗保健提供者必须建立相应流程来分析和评估他们所提供护理的质量。在一家机构中，为提高其质量和安全性所做的努力促成了一个强大的安全计划的制定，该计划投入资源以加强围手术期服务部门的安全文化。改进举措包括改变安全报告流程和绩效改进计划，增加资源和护士岗位，并围绕不良安全事件以及如何改善护理制定沟通策略。一个关键成果是，在一项调查中表示如果看到有事情对患者护理产生负面影响就会直言的人员比例增加了54%。
