爱尔兰共和国医院的患者安全测量和监测。

Measuring and monitoring patient safety in hospitals in the Republic of Ireland.

机构信息

Department of General Practice, School of Medicine, University of Galway, 1 Distillery Road, Newcastle, Co Galway, H91 TK33, Galway, Ireland.

Department of Public Health, Saudi Electronic University, Riyadh, Saudi Arabia.

出版信息

Ir J Med Sci. 2023 Dec;192(6):2581-2593. doi: 10.1007/s11845-023-03336-3. Epub 2023 Mar 22.

DOI:10.1007/s11845-023-03336-3

PMID:36947387

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10692269/

Abstract

BACKGROUND

Measuring and monitoring safety (MMS) is critical to the success of safety improvement efforts in healthcare. However, a major challenge to improving safety is the lack of high quality information to support performance evaluation.

AIMS

The aim of this study was to use Vincent et al.'s MMS framework to evaluate the methods used to MMS in Irish hospitals and make recommendations for improvement.

METHODS

The first phase of this qualitative study used document analysis to review national guidance on MMS in Ireland. The second phase consisted of semi-structured interviews with key stakeholders on their understanding of MMS. The MMS framework was used to classify the methods identified.

RESULTS

Six documents were included for analysis, and 24 semi-structured interviews were conducted with key stakeholders working in the Irish healthcare system. A total of 162 methods of MMS were identified, with one method of MMS addressing two dimensions. Of these MMS methods, 30 (18.4%) were concerned with past harm, 40 (24.5%) were concerned with the reliability of safety critical processes, 16 (9.8%) were concerned with sensitivity to operations, 28 (17.2%) were concerned with anticipation and preparedness, and 49 (30%) were concerned with integration and learning.

CONCLUSIONS

There are a wide range of methods of MMS in Irish hospitals. It is suggested that there is a need to identify those methods of MMS that are particularly useful in reducing harm and supporting action and improvement and do not place a large burden on healthcare staff to either use or interpret.

摘要

背景

衡量和监测安全性（MMS）对于医疗保健安全改进工作的成功至关重要。然而，提高安全性的一个主要挑战是缺乏高质量的信息来支持绩效评估。

目的

本研究旨在使用 Vincent 等人的 MMS 框架评估爱尔兰医院中用于 MMS 的方法，并提出改进建议。

方法

本定性研究的第一阶段使用文献分析来审查爱尔兰 MMS 的国家指南。第二阶段包括对关键利益相关者进行半结构化访谈，了解他们对 MMS 的理解。使用 MMS 框架对确定的方法进行分类。

结果

共纳入 6 份文件进行分析，并对在爱尔兰医疗保健系统中工作的关键利益相关者进行了 24 次半结构化访谈。共确定了 162 种 MMS 方法，其中一种 MMS 方法涉及两个维度。在这些 MMS 方法中，30 种（18.4%）关注过去的伤害，40 种（24.5%）关注安全关键过程的可靠性，16 种（9.8%）关注对操作的敏感性，28 种（17.2%）关注预测和准备，49 种（30%）关注整合和学习。