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通过实施组织文化模型来改善患者体验。

Improving patient experience by implementing an organisational culture model.

机构信息

Continuous Quality Improvement and Patient Safety, General Directorate of Health Services, Ministry of Defense, Riyadh, Saudi Arabia

Continuous Quality Improvement and Patient Safety, General Directorate of Health Services, Ministry of Defense, Riyadh, Saudi Arabia.

出版信息

BMJ Open Qual. 2023 May;12(2). doi: 10.1136/bmjoq-2022-002076.

Abstract

A satisfactory patient care culture model can help improve most patients' quality of care in a hospital. This study aims to improve patients' experiences (PX) by implementing a culture model at King Abdul-Aziz Armed Forces Hospital in Dhahran, Saudi Arabia. To achieve the research aim, a set of interventions were implemented that included a patient and family advisory council, empathy training, recognition of the PX, leadership-patient interviews, PX champions and quality improvement. These interventions were further measured using the Hospital Consumer Assessment of Healthcare Providers and Systems survey in the inpatient, outpatient and emergency departments. The improvement project was conducted in 2020, focusing mainly on transforming the culture and launching activities targeting specific touchpoints identified as priority areas. After making these changes, the hospital saw improvements in all patient relationships, with an average score across all dimensions collectively increasing by more than 4%. The quality improvement project using the PX culture model approach demonstrated significant improvements. In addition, employee involvement in patient care has become a significant factor in improving the quality of care. The critical elements for improving the PX and culture included recognising staff and creating networks across the system through effective leadership, employee engagement and engagement of patients and their families.

摘要

一个满意的患者关怀文化模式可以帮助改善医院大多数患者的护理质量。本研究旨在通过在沙特阿拉伯达兰的阿卜杜勒-阿齐兹国王武装部队医院实施一种文化模式来改善患者体验(PX)。为了实现研究目标,实施了一系列干预措施,包括患者和家属咨询委员会、同理心培训、PX 认可、领导与患者访谈、PX 冠军和质量改进。这些干预措施进一步通过医院消费者评估医疗保健提供者和系统调查在住院、门诊和急诊部门进行了衡量。改进项目于 2020 年进行,主要集中在转变文化和开展针对确定为优先领域的特定接触点的活动。在做出这些改变后,医院所有患者关系都有所改善,所有维度的平均得分集体提高了 4%以上。使用 PX 文化模式方法进行的质量改进项目取得了显著成效。此外,员工对患者护理的参与已成为提高护理质量的重要因素。改善 PX 和文化的关键要素包括通过有效的领导、员工参与以及患者及其家属的参与来认可员工并在整个系统中建立网络。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9acc/10230968/8fb43e06cf56/bmjoq-2022-002076f01.jpg

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