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开展模拟测试新的医疗设施:一种积极主动且创新的医疗系统安全方法。

Commissioning simulations to test new healthcare facilities: a proactive and innovative approach to healthcare system safety.

作者信息

Kaba Alyshah, Barnes Sue

机构信息

1eSIM Provincial Program, Alberta Health Services, South Tower Foothills Hospital, 1403 29 St. NW, Calgary, T2N 2T9 Canada.

2Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Foothills Medical Centre, 1403 29th Street NW, Calgary, AB T2N 2 T9 Canada.

出版信息

Adv Simul (Lond). 2019 Jul 16;4:17. doi: 10.1186/s41077-019-0107-8. eCollection 2019.

DOI:10.1186/s41077-019-0107-8
PMID:31346476
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6636135/
Abstract

Development and reconstruction of new healthcare facilities and spaces has the potential for latent safety threats to emerge, specifically unintentional harm that could affect actual patients once the facility opens, such as missing equipment, inefficient setup, or insufficient space for procedures. Process-orientated simulation and testing is a novel innovation in healthcare. The aim of process-orientated simulations and debriefing is to examine the process of care, rather than the outcome of care. These simulations, which take place in actual patient care settings and environments prior to occupancy, are an emerging strategy that can be used to test new environments and new healthcare facilities to ensure that the spaces created match the needs of the staff and administration, while proactively identifying latent safety threats prior to delivering patient care. In turn, these simulations can be also be used as part of the new site orientation and training plan. The aim of this paper is to examine a case study describing the use of the novel innovation of process-orientated simulations to test the opening of a new 300-bed healthcare facility.

摘要

新医疗设施和空间的开发与重建可能会出现潜在的安全威胁,特别是在设施开放后可能影响实际患者的意外伤害,例如设备缺失、设置低效或操作空间不足。以流程为导向的模拟和测试是医疗保健领域的一项新创新。以流程为导向的模拟和汇报的目的是检查护理过程,而不是护理结果。这些模拟在实际患者护理环境中于投入使用前进行,是一种新兴策略,可用于测试新环境和新医疗设施,以确保所创建的空间符合工作人员和管理人员的需求,同时在提供患者护理之前主动识别潜在的安全威胁。反过来,这些模拟也可作为新场地入职培训计划的一部分。本文的目的是研究一个案例,该案例描述了如何利用以流程为导向的模拟这一新创新来测试一家拥有300张床位的新医疗设施的启用情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f54/6636135/8bd4e5080cb9/41077_2019_107_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f54/6636135/8bd4e5080cb9/41077_2019_107_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f54/6636135/8bd4e5080cb9/41077_2019_107_Fig1_HTML.jpg

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