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A Comprehensive Approach to Identifying Intervention Targets for Patient-Safety Improvement in a Hospital Setting

机译：确定医院环境中改善患者安全的干预目标的综合方法

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摘要

Despite differences in approaches to organizational problem solving, healthcare managers and organizational behavior management (OBM) practitioners share a number of practices, and connecting healthcare management with OBM may lead to improvements in patient safety. A broad needs-assessment methodology was applied to identify patient-safety intervention targets in a large rural medical center. This included a content analysis of descriptions of managers'follow-up actions to error reports for nine types of the most frequently occurring errors. Follow-up actions were coded according to the taxonomy of behavioral intervention components developed by Getter et al. (1990). Two error types were identified as targets for intervention, and the outcome of this assessment process indicated a clear need to apply OBM interventions at the management level and thus have a hospital-wide benefit to patient safety. Future implications for using a system-wide approach to identifying and classifying responses to medical error are discussed.
机译：尽管解决组织问题的方法有所不同，但医疗保健经理和组织行为管理（OBM）的从业人员共享许多实践，并且将医疗保健管理与OBM相结合可能会改善患者的安全性。应用了广泛的需求评估方法来确定大型农村医疗中心的患者安全干预目标。这包括对经理针对9种最常发生的错误的错误报告采取的跟进行动的描述进行内容分析。根据Getter等人开发的行为干预成分的分类法对后续行动进行了编码。 （1990）。确定了两种错误类型作为干预目标，并且此评估过程的结果表明，显然需要在管理级别上应用OBM干预措施，从而在全院范围内对患者的安全有所帮助。讨论了使用全系统方法来识别和分类对医疗错误的响应的未来含义。

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