通过虚拟学习协作提高安全性。

IF 1.2 Q3 PEDIATRICS
Pediatric quality & safety Pub Date : 2024-07-19 eCollection Date: 2024-07-01 DOI:10.1097/pq9.0000000000000740
Jeffrey P Durney, Katie M Catalano, D Marlowe Miller, Amy J Starmer, Kate Humphrey, Catherine Perron, Anne M Stack
{"title":"通过虚拟学习协作提高安全性。","authors":"Jeffrey P Durney, Katie M Catalano, D Marlowe Miller, Amy J Starmer, Kate Humphrey, Catherine Perron, Anne M Stack","doi":"10.1097/pq9.0000000000000740","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Frontline healthcare safety leaders require expertise and confidence to manage local safety programs effectively yet are confronted with substantial challenges in identifying risk and reducing harm.</p><p><strong>Methods: </strong>We convened a multidisciplinary safety learning collaborative in a children's hospital pediatric department and used the Institute for Healthcare Improvement's Breakthrough Series model. Participants attended four virtual education sessions over 13 months (September 2020-September 2021) focused on identifying harm and using tools to improve safety. We analyzed departmental safety data monthly throughout the collaborative. The primary outcome was the development of improvement projects using direct application of the session content. The secondary outcome was participant confidence in improving safety via pre- and postsurveys.</p><p><strong>Results: </strong>Seventy clinicians and quality consultants participated. Fifteen divisional safety improvement projects were initiated. The percentage of survey respondents who reported feeling \"completely confident\" in their ability to improve safety increased from 26% (n = 39) to 58% (n = 26) from September 2020 to September 2021 (<i>P</i> = 0.01) and maintained at 65% 1 year after the end of the collaborative. We observed a decrease in the mean rate of reported inpatient preventable and possibly preventable moderate/serious/catastrophic events per 1000 bedded days from 1.10 (baseline) to 0.71 (intervention period).</p><p><strong>Conclusions: </strong>Through a collaborative effort in a virtual learning environment, we facilitated the development of fifteen safety projects, increased leaders' confidence in improving safety, and saw improved inpatient safety. This approach, which involves healthcare professionals from various disciplines, may be effectively adapted to other settings.</p>","PeriodicalId":74412,"journal":{"name":"Pediatric quality & safety","volume":null,"pages":null},"PeriodicalIF":1.2000,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11259400/pdf/","citationCount":"0","resultStr":"{\"title\":\"Improving Safety through a Virtual Learning Collaborative.\",\"authors\":\"Jeffrey P Durney, Katie M Catalano, D Marlowe Miller, Amy J Starmer, Kate Humphrey, Catherine Perron, Anne M Stack\",\"doi\":\"10.1097/pq9.0000000000000740\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Frontline healthcare safety leaders require expertise and confidence to manage local safety programs effectively yet are confronted with substantial challenges in identifying risk and reducing harm.</p><p><strong>Methods: </strong>We convened a multidisciplinary safety learning collaborative in a children's hospital pediatric department and used the Institute for Healthcare Improvement's Breakthrough Series model. Participants attended four virtual education sessions over 13 months (September 2020-September 2021) focused on identifying harm and using tools to improve safety. We analyzed departmental safety data monthly throughout the collaborative. The primary outcome was the development of improvement projects using direct application of the session content. The secondary outcome was participant confidence in improving safety via pre- and postsurveys.</p><p><strong>Results: </strong>Seventy clinicians and quality consultants participated. Fifteen divisional safety improvement projects were initiated. The percentage of survey respondents who reported feeling \\\"completely confident\\\" in their ability to improve safety increased from 26% (n = 39) to 58% (n = 26) from September 2020 to September 2021 (<i>P</i> = 0.01) and maintained at 65% 1 year after the end of the collaborative. We observed a decrease in the mean rate of reported inpatient preventable and possibly preventable moderate/serious/catastrophic events per 1000 bedded days from 1.10 (baseline) to 0.71 (intervention period).</p><p><strong>Conclusions: </strong>Through a collaborative effort in a virtual learning environment, we facilitated the development of fifteen safety projects, increased leaders' confidence in improving safety, and saw improved inpatient safety. This approach, which involves healthcare professionals from various disciplines, may be effectively adapted to other settings.</p>\",\"PeriodicalId\":74412,\"journal\":{\"name\":\"Pediatric quality & safety\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2024-07-19\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11259400/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Pediatric quality & safety\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1097/pq9.0000000000000740\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/7/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"PEDIATRICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pediatric quality & safety","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1097/pq9.0000000000000740","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/7/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"PEDIATRICS","Score":null,"Total":0}
引用次数: 0

摘要

背景:一线医疗安全领导者需要专业知识和信心来有效管理当地的安全计划,但在识别风险和减少伤害方面却面临着巨大的挑战:我们在一家儿童医院的儿科召集了一个多学科安全学习合作组织,并采用了医疗保健改进研究所的 "突破系列 "模式。参与者在 13 个月内(2020 年 9 月至 2021 年 9 月)参加了四次虚拟教育课程,重点是识别危害和使用工具提高安全性。在整个合作过程中,我们每月分析一次部门安全数据。主要结果是直接应用课程内容开发改进项目。次要结果是通过事前和事后调查了解参与者对改善安全状况的信心:结果:70 名临床医生和质量顾问参加了培训。启动了 15 个部门安全改进项目。从 2020 年 9 月到 2021 年 9 月(P=0.01),在调查中表示对自己改善安全的能力 "完全有信心 "的受访者比例从 26%(n=39)增加到 58%(n=26),并在合作结束 1 年后保持在 65%。我们观察到,每 1000 个住院日报告的住院病人可预防和可能预防的中度/严重/灾难性事件的平均发生率从 1.10(基线)下降到 0.71(干预期):通过在虚拟学习环境中的合作努力,我们促进了 15 个安全项目的发展,增强了领导者改善安全的信心,并改善了住院患者的安全状况。这种由各学科医护人员参与的方法可以有效地应用于其他环境。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Improving Safety through a Virtual Learning Collaborative.

Background: Frontline healthcare safety leaders require expertise and confidence to manage local safety programs effectively yet are confronted with substantial challenges in identifying risk and reducing harm.

Methods: We convened a multidisciplinary safety learning collaborative in a children's hospital pediatric department and used the Institute for Healthcare Improvement's Breakthrough Series model. Participants attended four virtual education sessions over 13 months (September 2020-September 2021) focused on identifying harm and using tools to improve safety. We analyzed departmental safety data monthly throughout the collaborative. The primary outcome was the development of improvement projects using direct application of the session content. The secondary outcome was participant confidence in improving safety via pre- and postsurveys.

Results: Seventy clinicians and quality consultants participated. Fifteen divisional safety improvement projects were initiated. The percentage of survey respondents who reported feeling "completely confident" in their ability to improve safety increased from 26% (n = 39) to 58% (n = 26) from September 2020 to September 2021 (P = 0.01) and maintained at 65% 1 year after the end of the collaborative. We observed a decrease in the mean rate of reported inpatient preventable and possibly preventable moderate/serious/catastrophic events per 1000 bedded days from 1.10 (baseline) to 0.71 (intervention period).

Conclusions: Through a collaborative effort in a virtual learning environment, we facilitated the development of fifteen safety projects, increased leaders' confidence in improving safety, and saw improved inpatient safety. This approach, which involves healthcare professionals from various disciplines, may be effectively adapted to other settings.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
2.20
自引率
0.00%
发文量
0
审稿时长
20 weeks
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信