医疗保健供应链绩效对患者安全的元分析

Chayada Kanokphanvanich, W. Rattanawong, V. Vongmanee
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摘要

新型冠状病毒(COVID-19)大流行在全球范围内产生了巨大影响。医疗保健行业受到全球供应链中断的严重影响,包括关键医疗设备和药品短缺、诊断不足以及医务人员不足。上述问题在"病人安全"方面直接影响人类健康,可能造成危及生命的情况。因此,了解如何加强医疗保健供应链(HSC)并提高安全性(特别是对患者而言)非常重要。发达国家对HSC绩效的研究较多,但对发展中国家特别是柬埔寨等东南亚国家HSC绩效的研究较少。因此,本研究旨在识别和综合用于患者安全的造血干细胞绩效,并提供发展中国家医疗保健环境中造血干细胞绩效的新模型。系统评价和荟萃分析的首选报告项目(PRISMA)采用世卫组织的患者安全定义、国际联合委员会(JCI)的国际患者安全目标和泰国医院认证协会(HA)进行。HSC的表现被分类在易于识别的标题SIMPLE(代表6个领域的患者安全目标:安全手术,感染预防和控制,用药安全,患者护理过程,实验室和血液制品安全,以及应急准备和响应)。提出了一种新的HSC患者安全绩效模型,以证明可以提高发展中国家HSC管理绩效的因素。此外,本研究通过分析现有研究并提出新的未来HSC绩效研究机会来促进患者安全,从而实现社会可持续性,从而有助于荟萃分析。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Meta-Analysis of Health care Supply Chain Performance for Patient Safety
The coronavirus (COVID-19) pandemic has had a huge impact all over the world. Healthcare industry is one that has been greatly affected by Global supply chain disruption, including shortages of critical medical equipment and drugs, insufficiency of diagnostic, and inadequacy of medical personnel. The aforementioned problems directly affect human health in the dimension of “patient safety” which may cause life-threatening situations. Therefore, it is important to learn how to strengthen the healthcare supply chain (HSC) and increase safety, particularly for patients. There are various researchers who studied HSC performance in developed countries but the research in developing countries especially southeast Asia countries e.g., Cambodia is scarce. Therefore, this research aims to identify and synthesize HSC performance for patient safety and provide a novel model of HSC performance in developing countries' healthcare settings. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) was conducted using a patient safety definition from WHO, International Patient Safety Goals from Joint Commission International (JCI), and the Hospital Accreditation institute (HA) from Thailand. The HSC performances are categorized under the easily recognizable heading SIMPLE (stands for patient safety goals in 6 domains as follows: Safe surgery, Infection Prevention & Control, Medication safety, Patient care process, Laboratory & blood product safety, and Emergency preparedness and response). The novel model of HSC performance for patient safety is provided to demonstrate the factors that can enhance the performance of HSC management in developing countries. Moreover, this study contributes to the meta-analysis by analyzing existing research and proposing new future research opportunities in HSC performance for patient safety that leads to social sustainability.
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