评估护士对患者身份识别这一患者安全目标的遵守情况和态度:横断面观察调查

Adriel Quadros, Brayal Dsouza, Suneel C. Mundkur, Jibu Thomas
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摘要

摘要: 背景:患者身份识别是一项重要的患者安全目标,医疗服务提供者在医院进行预期干预之前,负有适当核实患者身份的主要责任。医院管理团队必须制定并确保实施患者身份识别政策。目的 评估对患者身份识别这一患者安全目标的认识、态度和遵守情况:采用随机抽样的方法,对一家三级医院的 231 名住院部护士进行了横断面观察研究。使用基于知识的问卷、结构化验证问卷(用于测量对患者安全的态度)和观察清单(用于测量在实践中对患者身份识别的遵守情况),对护士对正确识别患者的患者安全知识、态度和做法进行了评估:50%以上的护士对报告、承认和处理错误以及集中精力解决可改善患者安全的原因持积极态度。大多数人认为,管理层为报告提供了公平的待遇,但更倾向于并致力于实现组织的目标。所有识别实践的合规率均超过 80%,只有少数几个领域需要改进,合规率低于 90%。结论在提供医疗服务时,需要特别注意病人身份识别方法,以避免误导性错误和伤害。因此,定期测量医护人员的依从性和态度以改进报告和制定策略非常重要。通过采用标准化方法、提供明确的规程、培训和患者教育等策略,以及最重要的是创建一种报告文化和展示管理层对质量保证的倾向,可以进一步提高合规率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessing Compliance and Attitude to patient safety goal of patient identification among nurses: A cross-sectional observational survey
Abstract: Background: Patient identification is an important patient safety goal, healthcare providers have primary responsibility for verifying a patient's identity appropriately before intended interventions in the hospital. It is important for the hospital management team to develop and ensure the practice of patient identification policy. Objective:  To assess knowledge, attitude, and compliance to patient safety goal of patient identification Methods: An observational cross-sectional study was conducted among 231 staff nurses of inpatient departments using random sampling at a tertiary hospital. The staff nurses were assessed for knowledge, attitude, and practices on patient safety of right patient identification using a knowledge-based questionnaire, structured validated questionnaire to measure attitude towards patient safety, and observational checklist for compliance to patient identification in practice Results: More than 50 percent of the nurses had a positive attitude towards reporting, acknowledging and dealing with mistakes, and concentrating on causes that could result in improving patient safety. Majority believed, management provided fair treatment for reporting but were more inclined and invested towards meeting targets of the organization. The compliance with all the identification practices was more than 80% with few areas of improvement identified for a compliance rate of less than 90%. Conclusion: Patient identification practices require special attention in health care delivery to avoid misleading errors and harm. It is thereby important to measure compliance and attitude of HCP at regular intervals to improve reporting and devising strategies. The compliance rate can be further improved by using strategies like standardizing approaches, provision of clear protocol, training, and patient education, and most importantly creating a culture of reporting and demonstrating management's inclination towards quality assurance
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