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首页> 外文期刊>Health services management research: an official journal of the Association of University Programs in Health Administration >How public hospitals respond to and use a national serious and sentinel events report: A qualitative study in New Zealand
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How public hospitals respond to and use a national serious and sentinel events report: A qualitative study in New Zealand

机译：公立医院如何应对和使用全国性严重和定点事件报告：新西兰的一项定性研究

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摘要

How and if public hospital leaders in a national health system use an annual Serious and Sentinel Events (SSE) report, an aim of which is to stimulate improvements in health care quality and patient safety, is an important question that is under-researched. This exploratory qualitative study in New Zealand using semi-structured interviews was undertaken in response. Interviewees included 29 representatives in patient safety leadership roles from 20 hospital districts, each of whom were recommended by their Chief Executives. Four themes describing factors contributing to the use of the SSE report were identified: response to the report itself; perceived use of and value of the report as a quality improvement tool; collaboration amongst hospitals around the findings; and, the priority given to improving quality within respondents' healthcare organisations. This article provides examples of these themes and how they relate to the use of the SSE report as a quality improvement tool. The article concludes that an annual SSE report has the potential to be a very useful tool for health care leaders in addressing SSEs. However, it also suggests that the report is underutilised and consequently some of this potential is lost. This may be explained by hospital capacity to absorb information from, and respond to, the SSE report.
机译：国家卫生系统中的公立医院领导者如何以及是否使用年度严重事件报告（SSE）报告，该报告的目的是促进改善医疗保健质量和患者安全，这是一个尚未研究的重要问题。对此，新西兰进行了使用半结构化访谈的探索性定性研究。受访者包括来自20个医院区的29位患者安全领导角色的代表，每位代表均由其首席执行官推荐。确定了四个主题来描述影响使用SSE报告的因素：对报告本身的回应;认为报告是质量改进工具的用途和价值;医院之间围绕调查结果的合作;并且优先考虑提高受访者医疗机构的质量。本文提供了这些主题的示例，以及它们与SSE报告作为质量改进工具的使用之间的关系。本文的结论是，年度SSE报告有可能成为医疗保健领导者解决SSE的非常有用的工具。但是，这也表明该报告未得到充分利用，因此失去了这种潜力。这可以用医院从SSE报告中吸收信息并做出响应的能力来解释。

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