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首页> 外文期刊>International journal of health care quality assurance >Implementation of a multimodal patient safety improvement program 'SafetyLEAP' in intensive care units A cross-case study analysis
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Implementation of a multimodal patient safety improvement program 'SafetyLEAP' in intensive care units A cross-case study analysis

机译：重症监护病房实施多模式患者安全改进计划“ SafetyLEAP”跨案例研究分析

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Purpose - Patient safety remains a top priority in healthcare. Many organizations have developed systems to monitor and prevent harm, and have invested in different approaches to quality improvement. Despite these organizational efforts to better detect adverse events, efficient resolution of safety problems remains a significant challenge. The authors developed and implemented a comprehensive multimodal patient safety improvement program called SafetyLEAP. The term "LEAP" is an acronym that highlights the three facets of the program including: a Leadership and Engagement approach; Audit and feedback; and a Planned improvement intervention. The purpose of this paper is to evaluate the implementation of the SafetyLEAP program in the intensive care units (ICUs) of three large hospitals. Design/methodology/approach - A comparative case study approach was used to compare and contrast the adherence to each component of the SafetyLEAP program. The study was conducted using a convenience sample of three (n = 3) ICUs from two provinces. Two reviewers independently evaluated major adherence metrics of the SafetyLEAP program for their completeness. Analysis was performed for each individual case, and across cases. Findings - A total of 257 patients were included in the study. Overall, the proportion of the SafetyLEAP tasks completed was 64.47, 100, and 26.32 percent, respectively. ICU nos 1 and 2 were able to identify opportunities for improvement, follow a quality improvement process and demonstrate positive changes in patient safety. The main factors influencing adherence were the engagement of a local champion, competing priorities, and the identification of appropriate resources. Practical implications - The SafetyLEAP program allowed for the identification of processes that could result in patient harm in the ICUs. However, the success in improving patient safety was dependent on the engagement of the care teams. Originality/value - The authors developed an evidence-based approach to systematically and prospectively detect, improve, and evaluate actions related to patient safety.
机译：目的-患者安全仍然是医疗保健的重中之重。许多组织已经开发了监视和防止危害的系统，并且已经投资了不同的方法来提高质量。尽管在组织上进行了努力以更好地检测不良事件，但是有效解决安全问题仍然是一项重大挑战。作者开发并实施了名为SafetyLEAP的综合多模式患者安全改进计划。 “ LEAP”一词是首字母缩写词，突出了该计划的三个方面，包括：领导和参与方法；审核和反馈；和计划的改进干预措施。本文的目的是评估SafetyLEAP计划在三家大型医院的重症监护病房（ICU）中的实施情况。设计/方法/方法-比较案例研究方法用于比较和对比对SafetyLEAP计划的每个组成部分的遵守情况。该研究使用来自两个省的三个（n = 3）ICU的便利样本进行。两名审核者独立评估了SafetyLEAP计划的主要遵守指标的完整性。针对每个个案以及跨个案进行分析。研究结果-共有257名患者被纳入研究。总体而言，已完成SafetyLEAP任务的比例分别为64.47％，100％和26.32％。 ICU 1号和2号能够识别出改善的机会，遵循质量改善过程并证明患者安全性发生了积极变化。影响遵守情况的主要因素是当地冠军的参与，相互竞争的优先事项以及适当资源的确定。实际意义-SafetyLEAP程序允许识别可能导致ICU中患者伤害的过程。但是，改善患者安全的成功取决于护理团队的参与。原创性/价值-作者开发了一种基于证据的方法，可以系统地和前瞻性地检测，改善和评估与患者安全相关的措施。

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