PATIENT SAFETY GOALS, AFRICA: DEVELOPMENT OF A CONTEXT FITTING TOOL FOR PATIENT SAFETY AND CARE QUALITY ASSESSMENT IN AFRICA USING THE DECIDE(HUMAN FACTORS) MODEL.

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Abstract

Patient safety practice refers to processes or structures which when applied, reduce the probability of adverse events resulting from exposure to the healthcare system across a range of diseases and procedures. It aims at making health care safer for both clients and staff (Kohn, Corrigan, & Donaldson, 2000). It is “A framework of organized activities that createcultures, processes, procedures, behaviours, technologies and environments in health care that consistently and sustainably lower risks, reduce the occurrence of avoidable harm, make errors less likely and reduce the impact of harm when it does occur.” (WHO, 2021). Quality of care is “the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge” (IOM, 1990 and ahrq.gov., 2016). Healthcare quality is a level or value provided by any healthcare resource, as determined by some measurement (Maxwell, 1984).As with quality in other fields, it is an assessment of whether something is good enough and whether it is suitable for its purpose. Other definitions of healthcare quality include: “the degree of conformity with accepted principles and practices (standards), the degree of satisfying the patient’s needs, and the degree of attainment of acceptable outcomes, while making appropriate use of resources.” The Joint Commission defines care quality as “the optimal achievement of therapeutic benefit and avoidance of risk and minimization of harm”. Care quality is also referred to as freedom from deficiencies and therefore less costly because deficiencies which often lead to customer dissatisfaction require additional costs to manage them. Quality care conforms to relevant requirements or standards - the needs and expectations of clients or patients.
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非洲患者安全目标:利用决定(人为因素)模型开发非洲患者安全和护理质量评估的情境匹配工具。
患者安全实践指的是在应用过程或结构时,降低因接触医疗保健系统中的各种疾病和程序而发生不良事件的概率。其目的是为客户和员工提供更安全的医疗服务(Kohn, Corrigan, & Donaldson, 2000)。它是 "一个有组织的活动框架,在医疗保健中创造文化、流程、程序、行为、技术和环境,以持续不断地降低风险,减少可避免伤害的发生,降低错误发生的可能性,并在伤害发生时减少其影响"(世卫组织,2021 年)。(世卫组织,2021 年)。医疗质量是 "为个人和群体提供的医疗服务在多大程度上提高了获得理想健康结果的可能性,并与当前的专业知识保持一致"(IOM,1990 年;ahrq.gov.,2016 年)。与其他领域的质量一样,医疗质量也是对事物是否足够好以及是否适合其目的的评估。医疗质量的其他定义包括与其他领域的质量一样,它是对某一事物是否足够好以及是否适合其目的的评估。"符合公认原则和实践(标准)的程度、满足病人需求的程度以及达到可接受结果的程度,同时合理利用资源"。联合委员会将医疗质量定义为 "治疗效果的最佳实现、风险的规避和伤害的最小化"。护理质量也被称为无缺陷,因此成本较低,因为缺陷往往会导致客户不满,需要额外的成本来管理这些缺陷。优质护理符合相关要求或标准--客户或病人的需求和期望。
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