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首页> 外文期刊>BMJ quality & safety >Safety measurement and monitoring in healthcare: a framework to guide clinical teams and healthcare organisations in maintaining safety
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Safety measurement and monitoring in healthcare: a framework to guide clinical teams and healthcare organisations in maintaining safety

机译：医疗保健中的安全性测量和监控：指导临床团队和医疗保健组织保持安全性的框架

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摘要

Patients, clinicians and managers all want to be reassured that their healthcare organisation is safe. But there is no consensus about what we mean when we ask whether a healthcare organisation is safe or how this is achieved. In the UK, the measurement of harm, so important in the evolution of patient safety, has been neglected in favour of incident reporting. The use of softer intelligence for monitoring and anticipation of problems receives little mention in official policy. The Francis Inquiry report into patient treatment at the Mid Staffordshire NHS Foundation Trust set out 29 recommendations on measurement, more than on any other topic, and set the measurement of safety an absolute priority for healthcare organisations. The Berwick review found that most healthcare organisations at present have very little capacity to analyse, monitor or learn from safety and quality information. This paper summarises the findings of a more extensive report and proposes a framework which can guide clinical teams and healthcare organisations in the measurement and monitoring of safety and in reviewing progress against safety objectives. The framework has been used so far to promote self-reflection at both board and clinical team level, to stimulate an organisational check or analysis in the gaps of information and to promote discussion of 'what could we do differently'.
机译：患者，临床医生和管理人员都希望放心他们的医疗机构是安全的。但是，当我们询问医疗保健组织是否安全或如何实现这一目标时，我们的意思尚无共识。在英国，对损害的衡量在患者安全发展中非常重要，但它已被忽略，而倾向于事件报告。在官方政策中很少提及使用软情报来监视和预测问题。中斯塔福德郡NHS基金会信托基金对患者治疗的弗朗西斯问题调查报告提出了29条有关测量的建议，比其他任何主题都多，并且将安全测量作为医疗机构的绝对优先事项。 Berwick评估发现，目前大多数医疗机构都缺乏分析，监控或从安全和质量信息中学习的能力。本文总结了一份更广泛的报告的发现，并提出了一个框架，该框架可以指导临床团队和医疗机构进行安全性的测量和监控，并针对安全目标审查进展情况。迄今为止，该框架已被用于在董事会和临床团队两级促进自我反思，在信息方面促进组织检查或分析，并促进对“我们可以做些什么”的讨论。

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