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首页> 外文期刊>The joint commission journal on quality and patient safety >Diffusing Aviation Innovations in a Hospital in the Netherlands
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Diffusing Aviation Innovations in a Hospital in the Netherlands

机译：荷兰一家医院的航空创新传播

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Background: Many authors have advocated the diffusion of innovations from other high-risk industries into health care to improve safety. The aviation industry is comparable to health care because of its similarities in (a) the use of technology, (b) the requirement of highly specialized professional teams, and (c) the existence ol risk and uncertainties. For almost 20 years, The Rotterdam Eye Hospital (Rotterdam, the Netherlands) has been engaged in diffusing several innovations adapted from aviation. Methods: A case-study methodology was used to assess the application of innovations in the hospital, with a focus on the context and the detailed mechanism for each innovation. Data on hospital performance outcomes were abstracted from the hospital information data management system, quality and safety reports, and the incident reporting system. Information on the innovations was obtained from a document search; observations; and semistructured, face-to-face interviews.rnInnovations: Aviation industry-based innovations diffused into patient care processes were as follows: patient planning and booking system, taxi service/valet parking, risk analysis (as applied to wrong-site surgery), time-out procedure (also for wrong-site surgery), Crew Resource Management training, and black box. Observations indicated that the innovations had a positive effect on quality and safety in the hospital: Waiting times were reduced, work processes became more standardized, the number of wrong-site surgeries decreased, and awareness of patient safety was heightened.rnConclusion: A near-20-year experience with aviation-based innovation suggests that hospitals start with relatively simple innovations and use a systematic approach toward the goal of improving safety.
机译：背景：许多作者主张将创新从其他高风险行业传播到医疗保健领域，以提高安全性。航空业之所以与医疗保健相当，是因为其在以下方面的相似性：（a）技术的使用；（b）高度专业化的专业团队的要求；（c）风险和不确定性的存在。近二十年来，鹿特丹眼科医院（荷兰鹿特丹）一直致力于传播航空领域的多种创新技术。方法：采用案例研究方法评估创新在医院中的应用，重点是每种创新的背景和详细机制。从医院信息数据管理系统，质量和安全报告以及事件报告系统中提取了有关医院绩效结果的数据。有关创新的信息是通过文件搜索获得的；观察;创新：扩散到患者护理过程中的基于航空业的创新如下：患者计划和预订系统，出租车服务/代客泊车，风险分析（应用于错误部位手术），超时程序（也适用于错误部位的手术），机组人员资源管理培训和黑匣子。观察结果表明，这些创新对医院的质量和安全性产生了积极影响：减少了等待时间，使工作流程更加标准化，减少了误诊地点的手术次数，提高了患者安全意识。在基于航空的创新方面拥有20年的经验表明，医院从相对简单的创新开始，并朝着提高安全性的目标使用系统的方法。

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    Dirk F. de Korne; Jeroen D.H. van Wijngaarden; U. Frans Hiddema; Fred G. Bleeker; Peter J. Pronovost; Niek S. Klazinga;

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    Rotterdam Ophthalmic Institute, Rotterdam Eye Hospital, and Institute of Health Policy & Management, Erasmus University, Rotterdam, the Netherlands;

    rnInstitute of Health Policy & Management, Erasmus University;

    rnRotterdam Eye Hospital;

    rnQST Safe Skies, Almere, the Netherlands;

    rnDepartment of Anesthesiology and Critical Care Medicine, Quality and Safety Research Group Departments of Surgery and Health Policy and Management, The Johns Hopkins University, Baltimore;

    rnDepartment of Social Medicine, Academic Medical Center, University of Amsterdam, the Netherlands;

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