迈向更安全的医疗机构:改善沙特阿拉伯公立医院的患者识别。

IF 1.2 4区 医学 Q4 HEALTH CARE SCIENCES & SERVICES
Quality Management in Health Care Pub Date : 2023-04-01 Epub Date: 2022-07-08 DOI:10.1097/QMH.0000000000000368
Fatemah AlYaqoub, Sama'a H AlMubarak
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引用次数: 0

摘要

背景和目的:患者的错误识别仍然对患者、医护人员和医院构成重大风险。该研究的目的是介绍在沙特阿拉伯一家公立医院实施的一个成功的质量改进项目。该项目的重点是提高工作人员对医院患者身份识别政策的遵守程度和意识,从而减少与患者身份识别错误相关的事件数量。方法:通过质量改进项目,我们采用FOCUS PDSA来解决门诊部患者误认的问题。共有640名工作人员参加了教育计划,其中包括医生、护士、接待员、放射科医生、物理治疗师和实验室工作人员。收集的数据包括项目前后的合规性和意识水平以及患者误认事件的衡量标准。进行统计分析,以衡量项目前后研究指标的显著差异。结果:项目后评估结果表明,该项目成功地实现了目标。总体遵守率和意识水平分别从59%提高到78%和从75%提高到90%。依从性和意识水平的提高具有统计学意义。项目实施后,患者误认错误的平均数量也有所减少,平均每月有3个错误。项目前后患者误认错误的平均差异显著(P<0.01)。结论:该项目展示了如何使用质量改进项目来解决患者误认等关键问题。该项目进一步推动了国家和国际机构为改善患者安全所做的努力。它还强调了持续教育和培训的重要性,以确保遵守患者身份识别政策,最终有助于建立更安全的医院环境。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Moving Toward a Safer Health Care Facility: Improving Patient Identification at a Public Hospital in Saudi Arabia.

Background and objectives: Patient misidentification errors continue to represent a significant risk to patients, health care staff, and hospitals. The study's purpose was to present a successful quality improvement project implemented in a public hospital in Saudi Arabia. The project focused on increasing staff's compliance with and awareness of the hospital's patient identification policy to thus reducing the number of patient misidentification-related incidents.

Methods: Through a quality improvement project, we employed FOCUS PDSA to address the issue of patient misidentification at outpatient departments. A total of 640 staff members participated in the educational program including physicians, nurses, receptionists, radiologists, physiotherapists, and laboratory staff. Collected data included measures of compliance and awareness levels as well as patient misidentification incidents, before and after the project. Statistical analysis was conducted to measure significant differences in the study indicators before and after the project.

Results: Results from the post-project assessment revealed that the project was successful in achieving its objectives. The overall compliance rate and awareness level increased from 59% to 78% and from 75% to 90%, respectively. Improvement in the levels of compliance and awareness was statistically significant. The average number of patient misidentification errors also reduced after the project's implementation with an average of 3 errors per month. The mean difference of patient misidentification errors before and after the project was significant ( P < .01).

Conclusion: This project demonstrated how quality improvement projects can be used to address a critical issue such as patient misidentification. The project furthers efforts made by national and international agencies to improve patient safety. It also highlights the importance of continuous education and training to ensure compliance with patient identification policies that ultimately contributes to a safer hospital environment.

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来源期刊
Quality Management in Health Care
Quality Management in Health Care HEALTH CARE SCIENCES & SERVICES-
CiteScore
1.90
自引率
8.30%
发文量
108
期刊介绍: Quality Management in Health Care (QMHC) is a peer-reviewed journal that provides a forum for our readers to explore the theoretical, technical, and strategic elements of health care quality management. The journal''s primary focus is on organizational structure and processes as these affect the quality of care and patient outcomes. In particular, it: -Builds knowledge about the application of statistical tools, control charts, benchmarking, and other devices used in the ongoing monitoring and evaluation of care and of patient outcomes; -Encourages research in and evaluation of the results of various organizational strategies designed to bring about quantifiable improvements in patient outcomes; -Fosters the application of quality management science to patient care processes and clinical decision-making; -Fosters cooperation and communication among health care providers, payers and regulators in their efforts to improve the quality of patient outcomes; -Explores links among the various clinical, technical, administrative, and managerial disciplines involved in patient care, as well as the role and responsibilities of organizational governance in ongoing quality management.
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