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在空间规划中运用医疗模拟以提高医疗系统的效率和效能。

Using healthcare simulation in space planning to improve efficiency and effectiveness within the healthcare system.

作者信息

Register Shilpa, Brown Michelle, White Marjorie Lee

机构信息

UAB Office of Interprofessional Simulation for Innovative Clinical Practice.

UAB School of Medicine, Department of Ophthalmology and Visual Sciences.

出版信息

Health Syst (Basingstoke). 2019 Jan 24;8(3):184-189. doi: 10.1080/20476965.2019.1569482. eCollection 2019.

DOI:10.1080/20476965.2019.1569482
PMID:31839930
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6896444/
Abstract

Healthcare professionals are continuously being challenged to address the triple aim necessary for effective patient care: improving the quality and satisfaction of patients, improving the health of populations, and reducing per capita cost of healthcare. Today, innovation and cost-effective methods are a requirement to meet the triple aim given the current economic climate and financial limitations. Healthcare simulation is currently underutilised, particularly during the space or facility planning process in healthcare. This position paper will describe the process of implementing space simulations that were conducted between 2016 and 2018 in six different clinical settings that identified patient and provider safety concerns, and patient and provider needs. Simulation design and development along with the methodology for data collection and data analyses will be presented. Qualitative results will be presented to demonstrate the impact of the use of simulation to prevent critical and non-critical safety events.

摘要

医疗保健专业人员不断面临挑战,要实现有效患者护理所需的三重目标:提高患者的质量和满意度、改善人群健康状况以及降低人均医疗保健成本。如今,鉴于当前的经济形势和财务限制,创新和具有成本效益的方法是实现三重目标的必要条件。医疗模拟目前未得到充分利用,尤其是在医疗保健机构的空间或设施规划过程中。本立场文件将描述2016年至2018年期间在六种不同临床环境中进行的空间模拟实施过程,这些模拟确定了患者和医护人员的安全问题以及患者和医护人员的需求。将介绍模拟设计与开发以及数据收集和数据分析方法。还将展示定性结果,以证明使用模拟预防重大和非重大安全事件的影响。

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Patient outcomes in simulation-based medical education: a systematic review.基于模拟的医学教育中的患者结局:系统评价。
J Gen Intern Med. 2013 Aug;28(8):1078-89. doi: 10.1007/s11606-012-2264-5.
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Simulation to assess the safety of new healthcare teams and new facilities.模拟评估新医疗团队和新设施的安全性。
Simul Healthc. 2011 Jun;6(3):125-33. doi: 10.1097/SIH.0b013e31820dff30.
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Simulation-based learning: Just like the real thing.基于模拟的学习:如同真实情况一样。
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Using in situ simulation to identify and resolve latent environmental threats to patient safety: case study involving operational changes in a labor and delivery ward.运用情景模拟识别并解决对患者安全的潜在环境威胁:涉及产房操作变更的案例研究
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The utility of simulation in medical education: what is the evidence?模拟在医学教育中的效用:证据是什么?
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