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提高管理人员的医疗保健问责制:促进患者安全和质量提升的透明度。

Enhancing Healthcare Accountability for Administrators: Fostering Transparency for Patient Safety and Quality Enhancement.

作者信息

Fukami Tatsuya

机构信息

Patient Safety Division, Shimane University Hospital, Izumo, JPN.

出版信息

Cureus. 2024 Aug 2;16(8):e66007. doi: 10.7759/cureus.66007. eCollection 2024 Aug.

Abstract

Transparency in healthcare organizations is essential for creating a culture of patient-centered care where patients are respected, informed, and actively engaged in their health and well-being. Organizational transparency is a crucial element in healthcare, enhancing patient safety and quality improvement. Transparency involves open communication about healthcare organizations' performance, outcomes, and processes, leading to improved accountability, trust, and patient engagement. Transparent organizations prioritize patient-centered care, involving patients in decision-making and fostering shared mental models between healthcare providers and patients. Psychological safety is vital for organizational transparency. Patient safety reporting systems play a key role in transparency, allowing anonymous reporting of safety concerns and incidents. These systems facilitate early risk identification, continuous improvement, and compliance with regulatory requirements. Transparency in reporting encourages a culture of openness, learning from near misses, and addressing systemic issues and human errors. It aligns with ethical principles, potentially mitigating legal challenges. This review synthesizes key themes, including the importance of patient-centered care, the role of psychological safety in fostering transparency, and the effectiveness of patient safety reporting systems.

摘要

医疗保健组织的透明度对于营造以患者为中心的医疗文化至关重要,在这种文化中,患者受到尊重、充分知情并积极参与自身的健康和福祉。组织透明度是医疗保健中的一个关键要素,可提高患者安全并促进质量改进。透明度涉及就医疗保健组织的绩效、结果和流程进行公开沟通,从而增强问责制、信任和患者参与度。透明的组织将以患者为中心的医疗放在首位,让患者参与决策,并促进医疗服务提供者与患者之间形成共同的思维模式。心理安全对于组织透明度至关重要。患者安全报告系统在透明度方面发挥着关键作用,允许对安全问题和事件进行匿名报告。这些系统有助于早期风险识别、持续改进以及符合监管要求。报告中的透明度鼓励开放的文化,从未遂失误中吸取教训,并解决系统性问题和人为错误。它符合道德原则,有可能减轻法律挑战。本综述综合了关键主题,包括以患者为中心的医疗的重要性、心理安全在促进透明度方面的作用以及患者安全报告系统的有效性。

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