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Analysis of patient safety culture and patient safety performance in medical group practice organizations.

机译：分析医疗团体执业组织中的患者安全文化和患者安全绩效。

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摘要

In conjunction with growing interest and public pressure, research into patient safety in the health care system has grown over the past seven years. Initial work focused on describing the magnitude of medical error and patient safety problems within hospitals. Current research explores ways to improve patient safety within health care organizations and the successes of interventions intended to increase patient safety. Recognition is growing that ambulatory care organizations must also be considered within the spectrum of patient safety improvement. A popular focus within the area of patient safety improvement interventions is patient safety culture. Patient safety culture is a subset of organizational culture that describes the organization's orientation to patient safety concerns reflected in organizational practices and employee behavior.;This dissertation describes an investigation of patient safety culture and performance within medical group practice organizations in Missouri. First, a conceptual framework is introduced that orients the numerous patient safety improvement strategies according to organizational ergonomic theory. Within this framework, research on patient safety interventions is reviewed and analyzed and increasing patient safety culture is identified as one of several organization-level strategies implemented to improve patient safety. Next, a new survey for assessing patient safety culture in ambulatory care organizations is reported. Finally, using the newly-developed survey, patient safety culture and performance are analyzed in a study of Missouri's medical group practice organizations. Conclusions from this investigation and future directions for research in the area of ambulatory care patient safety culture and performance are delineated.
机译：伴随着日益增长的兴趣和公众压力，过去七年来，人们对医疗保健系统中的患者安全进行了越来越多的研究。最初的工作重点是描述医院内医疗错误和患者安全问题的严重程度。当前的研究探索了改善医疗保健组织内患者安全性的方法以及旨在提高患者安全性的干预措施的成功经验。人们越来越认识到，必须在改善患者安全的范围内考虑非卧床护理组织。患者安全性改善干预是患者安全性改善干预领域中的一个普遍关注点。患者安全文化是组织文化的一个子集，描述了组织对组织实践和员工行为中所反映的患者安全关注的取向。本论文描述了对密苏里州医疗团队实践组织内患者安全文化和绩效的调查。首先，引入了一个概念框架，根据组织的人体工程学理论来指导众多患者安全改进策略。在此框架内，对患者安全干预措施的研究进行了回顾和分析，并且提高患者安全文化被确定为为提高患者安全性而实施的几种组织级策略之一。接下来，报告了一项用于评估门诊医疗机构中患者安全文化的新调查。最后，使用新开发的调查，在密苏里州医疗团体执业组织的研究中分析了患者的安全文化和表现。概述了本次调查的结论以及非卧床护理患者安全文化和表现领域的未来研究方向。

著录项

  • 作者

    Schutz, Amanda J. L.;

  • 作者单位

    Saint Louis University.;

  • 授予单位 Saint Louis University.;
  • 学科 Health Sciences Public Health.;Health Sciences Health Care Management.
  • 学位 Ph.D.
  • 年度 2007
  • 页码 158 p.
  • 总页数 158
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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