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大型研究教学型附属医院患者安全巡查试点项目。

A Patient Safety Rounds Pilot Program at Clinics Affiliated With a Large Research and Education Institution.

机构信息

Environmental Safety, Baylor College of Medicine, Houston, TX.

Ambulatory Operations, Baylor College of Medicine, Houston, TX.

出版信息

J Patient Saf. 2019 Jun;15(2):90-96. doi: 10.1097/PTS.0000000000000216.

Abstract

OBJECTIVE

In 2012, a 6-month Patient Safety Rounds pilot program was conducted to examine the provider perspective of patient safety and to educate personnel about national patient safety goals at clinics associated with a large research and education institution.

METHODS

The Patient Safety Rounds (PSR) team, consisting of 3 to 4 rotating members from executive leadership, physician and nursing groups, and administrative staff, identified contacts within clinical departments and made arrangements for monthly visits. Patient safety issues were preselected by committee for presentation and discussion at a premeeting held with supervisors and administrators during the first few minutes of PSR. After the premeeting, the PSR team split up and met individually with care providers, between patient visits, to review the monthly safety topic and any patient safety concerns that they wanted to discuss during the visit.

RESULTS

Approximately 37 patient safety issues were identified, recorded, and classified during these PSR team visits. If the issues could not be immediately addressed, they were either addressed shortly thereafter or referred to appropriate personnel for resolution.

CONCLUSIONS

This PSR pilot program was viewed as a success by participants because it identified provider perspective concerns, which led to the identification and resolution of numerous patient safety issues. This interesting pilot program, however, was discontinued owing to the departure of key leadership and the reorganization and reprioritization of resources.

摘要

目的

2012 年,开展了为期 6 个月的患者安全查房试点计划,旨在从医务人员的角度审视患者安全问题,并向与大型研究和教育机构相关的诊所人员宣传国家患者安全目标。

方法

由 3 至 4 名来自行政领导层、医师和护理团队以及行政人员的轮换成员组成的患者安全查房(PSR)团队,在临床科室内部确定联系人,并安排每月查房。委员会预先选择患者安全问题,在与主管和管理人员举行的会前会议上进行介绍和讨论,该会议在 PSR 的前几分钟举行。会前会议之后,PSR 团队分成小组,在患者就诊之间与医护人员单独会面,审查每月的安全主题以及他们希望在就诊期间讨论的任何患者安全问题。

结果

在这些 PSR 团队查房期间,共确定、记录和分类了大约 37 个患者安全问题。如果不能立即解决这些问题,则会在其后不久解决,或转介给适当的人员解决。

结论

由于关键领导层的离职以及资源的重新组织和优先排序,这个有趣的试点计划被终止。然而,参与者认为该 PSR 试点计划取得了成功,因为它确定了医务人员关注的问题,从而发现并解决了众多患者安全问题。

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