一家多学科医院麻醉科和重症监护科患者安全系统的组成部分、标准和级别(信息 1)

V. I. Gorban
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引用次数: 0

摘要

目的是证实多学科医院麻醉科和重症监护室患者安全系统的组成部分、标准和水平,作为随后在俄罗斯联邦进行实际评估的方法论基础。对科学文献(专著和文章)进行内容分析,内容涉及确保多学科医院麻醉学和重症监护部患者安全的问题。确定多学科医院麻醉科和重症监护室确保患者安全的标准(指标、因素)初步清单,专家评估其重要性并确定主要标准,包括主导(主要)标准。说明主导标准的内容特征,以及多学科医院麻醉科和重症监护室确保患者安全的水平。专家评估法。对数据分布进行统计分析,对其重要性进行排序评估。结果表明,17 项标准(因素、指标)是多学科医院麻醉科和重症监护室确保患者安全的主要标准,其中 5 项是主导标准(主要标准),信息量最大。它们全面反映了多学科医院麻醉科和重症监护室确保患者安全的五个层次之一。多学科医院麻醉科和重症监护室确保患者安全的系统是多维的、动态的(可控的),其状态由 5 个主要(主导)组成部分构成,这些组成部分是对系统五个层次中的一个层次进行实际评估并确定其变化(控制、纠正)方向的方法论基础。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Components, criteria and levels of the patient safety system of the Department of Anesthesiology and Intensive Care of a multidisciplinary hospital (message 1)
The objective was to substantiate components, criteria and levels of the patient safety system of the Department of Anesthesiology and Intensive Care of a multidisciplinary hospital as the methodological basis for their subsequent practical assessment in the Russian Federation.Materials and methods. Content analysis of scientific literature (monographs and articles) on the problem of ensuring patient safety at the Department of Anesthesiology and Intensive Care of a multidisciplinary hospital. Determination of the initial list of criteria (indicators, factors) for ensuring patient safety at the Department of Anesthesiology and Intensive Care of a multidisciplinary hospitals, expert assessment of their significance with identification of the main one, including leading (main) criteria. Justification of the content characteristics of the leading criteria, as well as the levels of ensuring patient safety at the Department of Anesthesiology and Intensive Care of a multidisciplinary hospital. Expert assessment method. Statistical analysis of data distribution, ranking assessment of their significance.Results. It was established that 17 criteria (factors, indicators) are the main ones for ensuring patient safety at the Department of Anesthesiology and Intensive Care of a multidisciplinary hospital, of which five are leading (main) and the most informative. They comprehensively reflect one of the five levels of ensuring patient safety at the Department of Anesthesiology and Intensive Care of a multidisciplinary hospital.Conclusion. The system for ensuring patient safety at the Department of Anesthesiology and Intensive Care of a multidisciplinary hospital is multidimensional and dynamic (controllable), its state is characterized by 5 main (leading) components, which are the methodological basis for the practical assessment of one of five levels of the system and determining the directions for its change (control, correction).
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