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滑倒、绊倒和跌倒:一项质量改进举措。

Slips, Trips, and Falls: A Quality Improvement Initiative.

作者信息

Peir Gene H, Fink Alia, Mantasas Nick, Cheng Jenhao J, Worten Katherine, Shah Rahul K

机构信息

Children's National Hospital, Washington, D.C.

George Washington University School of Medicine and Health Sciences, Washington, DC.

出版信息

Pediatr Qual Saf. 2022 Mar 30;7(2):e550. doi: 10.1097/pq9.0000000000000550. eCollection 2022 Mar-Apr.

DOI:10.1097/pq9.0000000000000550
PMID:35369409
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8970105/
Abstract

UNLABELLED

Employee safety and the reduction of Days Away, Restricted, or Transferred are a focus of the Solutions for Patient Safety Network. One significant contributor to the Days Away, Restricted, or Transferred rate at Children's National Hospital is employee slips, trips, or falls.

METHODS

Children's National Hospital implemented a multidisciplinary quality improvement with executive leadership vision and support. We implemented quality techniques (including Key Driver Diagrams, Pareto Charts, and continuous Plan-Do-Study-Act) and designed novel Environmental Services interventions.

RESULTS

Children's National Hospital achieved a 44.3% reduction in monthly average reported slips, trips, or fall events from baseline and sustained over a 2-year study period.

CONCLUSION

A leadership-driven multidisciplinary approach to quality initiatives with team leaders capable of making and enacting real-time policy changes led to novel interventions and a successful reduction of employee slips, trips, and falls events over time, which are broadly generalizable.

摘要

未标注

员工安全以及减少离岗、受限或调岗天数是患者安全网络解决方案的重点。儿童国家医院离岗、受限或调岗率的一个重要促成因素是员工滑倒、绊倒或摔倒。

方法

儿童国家医院在行政领导的愿景和支持下实施了多学科质量改进。我们实施了质量技术(包括关键驱动因素图、帕累托图和持续的计划-执行-研究-行动)并设计了新颖的环境服务干预措施。

结果

儿童国家医院自基线起每月平均报告的滑倒、绊倒或摔倒事件减少了44.3%,并在为期2年的研究期间保持这一成果。

结论

一种由领导驱动的多学科质量改进方法,团队领导者能够制定并实施实时政策变革,带来了新颖的干预措施,并随着时间的推移成功减少了员工滑倒、绊倒和摔倒事件,这具有广泛的通用性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/709b/8970105/be1b3a6081ec/pqs-7-e550-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/709b/8970105/29495c14cbf9/pqs-7-e550-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/709b/8970105/c77f8f19f873/pqs-7-e550-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/709b/8970105/b96a4b87851c/pqs-7-e550-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/709b/8970105/be1b3a6081ec/pqs-7-e550-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/709b/8970105/29495c14cbf9/pqs-7-e550-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/709b/8970105/c77f8f19f873/pqs-7-e550-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/709b/8970105/b96a4b87851c/pqs-7-e550-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/709b/8970105/be1b3a6081ec/pqs-7-e550-g004.jpg

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本文引用的文献

1
Reducing Employee Injury Rates with a Hospital-wide Employee Safety Program.通过全医院范围的员工安全计划降低员工受伤率。
Pediatr Qual Saf. 2021 Feb 12;6(2):e387. doi: 10.1097/pq9.0000000000000387. eCollection 2021 Mar-Apr.
2
A comprehensive patient safety program can significantly reduce preventable harm, associated costs, and hospital mortality.全面的患者安全计划可以显著减少可预防的伤害、相关成本和医院死亡率。
J Pediatr. 2013 Dec;163(6):1638-45. doi: 10.1016/j.jpeds.2013.06.031. Epub 2013 Jul 30.
3
Our journey to zero: reducing serious safety events by over 70% through high-reliability techniques and workforce engagement.
我们的零事故之旅:通过高可靠性技术和员工参与将严重安全事件减少70%以上。
J Healthc Risk Manag. 2012;32(2):4-18. doi: 10.1002/jhrm.21090.