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首页> 外文期刊>AJR: American Journal of Roentgenology : Including Diagnostic Radiology, Radiation Oncology, Nuclear Medicine, Ultrasonography and Related Basic Sciences >Improving patient safety: effects of a safety program on performance and culture in a department of radiology.
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Improving patient safety: effects of a safety program on performance and culture in a department of radiology.

机译：改善患者安全性：放射科安全计划对行为和文化的影响。

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OBJECTIVE: Emphasis is being placed on improving the safety performance of the health care delivery system. The purpose of this study was to evaluate the effects of a program on safety performance and culture in a pediatric radiology department. MATERIALS AND METHODS: A comprehensive safety program implemented in a department of radiology included error prevention training for all employees, a safety coach program, safety awards, Crucial Conversations training, and operational rounds with radiology leaders. The number of serious safety events (events with deviation from best practice, patient harm, and causation) that in part involved radiology were compared for 2 years after implementation of the program and the previous 2 years (baseline). A U.S. Agency for Healthcare Research and Quality safety culture survey was distributed to radiology employees, and the responses were compared for periods early in the program and after full implementation of the program. Fisher's exact test was used to evaluate for statistically significant differences (p < 0.05) in the survey responses and the frequency of serious safety events. RESULTS: Before introduction of the safety program, radiology contributed to a serious safety event an average of once every 200 days as opposed to once in 780 days after implementation of the program (one event in more than two academic years) (p = 0.37). Improvement was found in all 12 dimensions of the culture survey after implementation of the program. Radiology scored higher than hospital averages in 10 of 12 dimensions of the survey. CONCLUSION: The safety program had a positive effect on safety culture. Although it is early in the process and proving statistical significance for rare events such as serious safety events is difficult, the mean number of days between serious safety events has increased from 200 to 780. We conclude that the program is having a positive effect on safety performance.
机译：目的：重点放在改善卫生保健提供系统的安全性能上。这项研究的目的是评估程序对儿科放射科安全性能和培养的影响。材料和方法：在放射科实施的一项全面的安全计划包括对所有员工的错误预防培训，安全教练计划，安全奖励，关键对话培训以及与放射学负责人的操作回合。在实施该计划后的2年和之前的2年（基线）中，比较了部分涉及放射学的严重安全事件（偏离最佳实践，患者伤害和因果关系的事件）的数量。已向放射科员工分发了美国医疗保健研究与质量安全局的安全文化调查，并比较了该计划早期和计划完全实施后的答复。 Fisher精确检验用于评估调查响应和严重安全事件发生频率的统计学显着性差异（p <0.05）。结果：在实施安全计划之前，放射学平均每200天造成一次严重的安全事件，而实施该计划后的780天平均发生一次（超过两个学年的事件）（p = 0.37） 。该计划实施后，文化调查的所有12个方面都得到了改善。在调查的12个维度中，有10个的放射学得分高于医院的平均得分。结论：安全计划对安全文化产生了积极影响。尽管此过程尚处于早期阶段，很难证明诸如严重安全事件之类的罕见事件的统计意义，但严重安全事件之间的平均天数已从200天增加到780天。我们得出结论，该计划对安全性产生了积极影响性能。

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