The TRANS-SAFE Patient Safety Learning Laboratory: A Protocol for Systems Improvement for Psychosocial Safety in Transgender Care.

IF 1.7 3区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Tara N Cohen, Jennifer T Anger, Hanna Barton, Jill Blumenthal, Amanda Gosman, Falisha Kanji, Rai Khamisa, Jejo Koola, Priya Lewis, Maja Marinkovic, Bixby Marino-Kibbee, Maxwell Moore, Kyle Okamuro, Shanaya Sidhu, Victor Trasvina, Florin Vaida, Alan J Card
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Abstract

Objectives: This study aims to advance patient safety science by identifying and addressing the systemic causes of psychosocial harm among transgender and gender nonbinary (TGNB) individuals. The 4-year TRANS-SAFE patient safety learning laboratory (PSLL) will follow a 6-phase systems engineering approach to study ways to improve the safety of TGNB patients.

Methods: This study involves conducting a systematic scoping review, interviews with patients, providers, and community members, and observations of TGNB patient and provider experiences to identify determinants of avoidable patient suffering. In addition, the PSLL will provide financial support for pre-doctorate and post-doctorate research scholars in the TGNB community. Human-centered solutions will be co-designed to mitigate psychosocial harm among TGNB individuals. Interventions will be developed through engagement with stakeholders in an iterative process of co-design and evaluation.

Results: Interventions will be evaluated in real and simulated clinical environments for effectiveness, acceptability, usability, feasibility of implementation, and sustainability. A structural innovation of this PSLL is its focus on sustainment and dissemination, which will be facilitated through the development of a TRANS-SAFE certification process for health care organizations in partnership with the World Professional Association for Transgender Health (WPATH).

Conclusions: This PSLL will address a fundamental gap in the science and practice of patient safety by assessing and addressing psychosocial patient harm in a high-risk population that has been too often neglected in the patient safety literature.

TRANS-SAFE患者安全学习实验室:跨性别护理中社会心理安全系统改进方案。
目的:本研究旨在通过识别和解决跨性别和性别非二元(TGNB)个体的社会心理伤害的系统性原因来推进患者安全科学。为期4年的TRANS-SAFE患者安全学习实验室(PSLL)将遵循6个阶段的系统工程方法,研究提高TGNB患者安全性的方法。方法:本研究包括进行系统的范围审查,与患者、提供者和社区成员进行访谈,并观察TGNB患者和提供者的经验,以确定可避免的患者痛苦的决定因素。此外,PSLL将为TGNB社区的博士预科和博士后研究学者提供资金支持。将共同设计以人为本的解决方案,以减轻TGNB个体的社会心理伤害。干预措施将通过在共同设计和评估的迭代过程中与利益攸关方的接触来制定。结果:将在真实和模拟的临床环境中评估干预措施的有效性、可接受性、可用性、实施可行性和可持续性。该方案的结构创新是注重维持和传播,将通过与世界跨性别保健专业协会合作为保健组织制定跨性别安全认证程序来促进这一点。结论:该PSLL将通过评估和解决高危人群中患者的心理社会伤害来解决患者安全科学和实践中的根本差距,这在患者安全文献中经常被忽视。
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来源期刊
Journal of Patient Safety
Journal of Patient Safety HEALTH CARE SCIENCES & SERVICES-
CiteScore
4.60
自引率
13.60%
发文量
302
期刊介绍: Journal of Patient Safety (ISSN 1549-8417; online ISSN 1549-8425) is dedicated to presenting research advances and field applications in every area of patient safety. While Journal of Patient Safety has a research emphasis, it also publishes articles describing near-miss opportunities, system modifications that are barriers to error, and the impact of regulatory changes on healthcare delivery. This mix of research and real-world findings makes Journal of Patient Safety a valuable resource across the breadth of health professions and from bench to bedside.
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