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良好捕捉行动:改善围手术期安全文化。

Good Catch Campaign: Improving the Perioperative Culture of Safety.

作者信息

Lozito Michele, Whiteman Kimberly, Swanson-Biearman Brenda, Barkhymer Mary, Stephens Kimberly

出版信息

AORN J. 2018 Jun;107(6):705-714. doi: 10.1002/aorn.12148.

Abstract

Although health care workers feel pressure to reduce adverse events in the perioperative department, a lack of education, communication, and leadership can prevent hospital personnel from reporting good catches. The purpose of this evidence-based quality improvement project was to improve the culture of safety in our perioperative department by implementing the Good Catch Campaign. An interprofessional team led staff member education after implementing a standardized electronic reporting system and debriefing process to occur after good catches. Staff members reported 391 good catches from all perioperative areas during the six-month postimplementation period. Staff members completed the Agency for Healthcare Research and Quality Hospital Survey on Patient Safety Culture before and six months after implementation; scores improved in five areas: communication openness, feedback and communication about error, frequency of event reporting, nonpunitive response to error, and organizational learning and continuous improvement. The campaign was a successful strategy for improving perioperative patient safety.

摘要

尽管医护人员在减少围手术期不良事件方面面临压力,但缺乏教育、沟通和领导力会阻碍医院工作人员报告及时发现的问题。这个基于证据的质量改进项目的目的是通过开展“及时发现问题”活动来改善我们围手术期的安全文化。一个跨专业团队在实施标准化电子报告系统和在及时发现问题后进行汇报的流程后,领导工作人员进行教育。在实施后的六个月期间,工作人员报告了来自所有围手术期区域的391个及时发现的问题。工作人员在实施前和实施六个月后完成了医疗保健研究与质量局的医院患者安全文化调查;在五个方面的得分有所提高:沟通开放性、关于错误的反馈和沟通、事件报告频率、对错误的无惩罚性反应以及组织学习和持续改进。该活动是提高围手术期患者安全的一项成功策略。

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