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不良事件报告与管理者的基本任务:一项定性访谈研究。

Reporting of adverse events and the fundamental tasks of managers-A qualitative interview study.

机构信息

Faculty of Health Sciences, University of Ljubljana, Ljubljana, Slovenia.

Faculty of Management, University of Primorska, Koper, Slovenia.

出版信息

Nurs Open. 2023 Sep;10(9):6291-6299. doi: 10.1002/nop2.1875. Epub 2023 Jun 19.

Abstract

AIM

To describe healthcare professionals' experiences of adverse event reporting in relation to the fundamental tasks of managers.

DESIGN

Qualitative interview study.

METHOD

Twenty-four semi-structured interviews including six managers, six medical doctors, six Registered Nurses and six Enrolled Nurses were carried out in Slovenia from January to May 2019. The data were analysed using a multi-stage qualitative content analysis procedure. The COREQ checklist guided the reporting in this study.

RESULTS

The researchers found that all four fundamental tasks of managers, namely planning, organising, leading and controlling, influence the safety culture and thus adverse events reporting by employees. For each function, the researchers have identified the key factors that either promote or inhibit adverse events reporting in a healthcare institution. The results have implications for all those involved in adverse event reporting from the perspective of the fundamental tasks of managers and can contribute to the improvement of the reporting system and subsequently safer treatment.

摘要

目的

描述医疗保健专业人员在与管理人员基本任务相关的不良事件报告方面的经验。

设计

定性访谈研究。

方法

2019 年 1 月至 5 月,在斯洛文尼亚进行了 24 次半结构化访谈,包括 6 名经理、6 名医生、6 名注册护士和 6 名注册护士。使用多阶段定性内容分析程序对数据进行分析。本研究按照 COREQ 清单进行报告。

结果

研究人员发现,管理人员的所有四项基本任务,即计划、组织、领导和控制,都会影响安全文化,从而影响员工对不良事件的报告。对于每一项职能,研究人员都确定了促进或抑制医疗机构不良事件报告的关键因素。这些结果从管理人员基本任务的角度对所有参与不良事件报告的人都有影响,并有助于改善报告系统,从而实现更安全的治疗。

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