Johanna Skippon, Caroline Pullan, Emilie Ballarino, Maaha Farrukh, Jane Topolovec-Vranic
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引用次数: 0
摘要
工作场所暴力(WPV)是医疗保健环境中的一个重要问题,表明需要准确报告以计划和实施有效的干预措施。本文介绍了在一家大型学术卫生科学中心实施的质量改进(QI)计划的结果,该计划旨在改进WPV事件的报告。方法:采用计划-执行-研究-行动(PDSA)模型优化电子报告流程,减少WPV报告的不准确性,并确保领导和工作场所健康、安全与健康(WHSW)团队的适当跟进。在两个PDSA周期内,对电子事件报告表格进行了修改。结果:QI倡议后,不准确报告比例显著降低(χ2 (1, N = 1,219) = 111.86, p = .001)。此外,修订增加了工作人员的跟进和WHSW的支持。结论:我们的QI倡议表明,通过修订电子报告表,对WPV报告进行简单调整,可以显著提高事件数据的准确性和员工的后续工作。这些发现将有助于我们组织的员工和患者的安全。
Optimizing Workplace Violence Reporting in a Multisite Hospital Setting: A Quality Improvement Initiative.
Introduction: Workplace violence (WPV) is a significant concern in healthcare settings and indicates the need for accurate reporting to plan and implement effective interventions. This article presents the results of a quality improvement (QI) initiative implemented at a large academic health sciences center to improve the reporting of WPV events.
Methods: The Plan-Do-Study-Act (PDSA) model was adopted to optimize the electronic reporting process, reduce inaccuracies of WPV reporting, and ensure appropriate follow-up from leadership and the Workplace Health, Safety, and Wellness (WHSW) team. Over two PDSA cycles, modifications of an electronic incident reporting form were made.
Results: The proportion of inaccurate reporting was significantly lower (χ 2 (1, N = 1,219) = 111.86, p = .001), after the QI initiative. In addition, the revisions increased staff follow-up and support from WHSW.
Conclusions: Our QI initiative demonstrated that simple adjustments to our WPV reporting, with the revision of an electronic reporting form, had a significant improvement on incident data accuracy and staff follow-up. These findings will contribute to our organization's staff and patient safety.
期刊介绍:
The Journal for Healthcare Quality (JHQ), a peer-reviewed journal, is an official publication of the National Association for Healthcare Quality. JHQ is a professional forum that continuously advances healthcare quality practice in diverse and changing environments, and is the first choice for creative and scientific solutions in the pursuit of healthcare quality. It has been selected for coverage in Thomson Reuter’s Science Citation Index Expanded, Social Sciences Citation Index®, and Current Contents®.
The Journal publishes scholarly articles that are targeted to leaders of all healthcare settings, leveraging applied research and producing practical, timely and impactful evidence in healthcare system transformation. The journal covers topics such as:
Quality Improvement • Patient Safety • Performance Measurement • Best Practices in Clinical and Operational Processes • Innovation • Leadership • Information Technology • Spreading Improvement • Sustaining Improvement • Cost Reduction • Payment Reform