Factors Affecting Patient Safety in Inpatient Rehabilitation Hospital: A Multidisciplinary Perspective.

Q2 Medicine Hospital Topics Pub Date : 2023-07-04 DOI:10.1080/00185868.2023.2228970
Shoeleh Rahimi, Hamid Reza Khankeh, Narges Arsalani, Masoud Fallahi-Khoshknab, Abbas Ebadi, Fereydoun Layeghi
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Abstract

Patient safety (PS) is of special importance in Inpatient Rehabilitation Hospital (IRH). Few studies have assessed the factors affecting PS in IRH. Therefore, this study aimed to explore the factors affecting PS based on the experiences of the rehabilitation team in an IRH. This qualitative study was conducted using the conventional content analysis approach in 2020-2021. The participants were 16 members of the rehabilitation team. They were purposively selected from Rofaydeh rehabilitation hospital, Tehran, Iran. Data collection was performed through semi-structured interviews and was continued up to data saturation. The mean age of the participants was 37.31 ± 8.68 years and their mean work experience was 8.75 years. The factors affecting PS in IRH were classified into five main categories, namely shortage of organizational resources, inappropriate physical environment of the IRH, inappropriate PS culture, patients' and their caregivers' limited participation in safety programs, and poor fall prevention programs. The results of this study revealed the factors affecting PS in IRH. Accurate identification of the influential factors on PS can help healthcare providers, managers, and policymakers use multi-component interventions to improve PS culture and increase PS in IRHs. Action research studies are also recommended to determine the main components of such interventions.

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影响住院康复医院患者安全的因素:多学科视角
患者安全在住院康复医院中具有特殊的重要性。很少有研究评估影响IRH中PS的因素。因此,本研究旨在结合医院康复团队的经验,探讨影响PS的因素。本定性研究在2020-2021年使用传统的内容分析方法进行。参与者是康复小组的16名成员。他们是有目的地从伊朗德黑兰的Rofaydeh康复医院挑选的。数据收集通过半结构化访谈进行,并持续到数据饱和。参与者的平均年龄为37.31±8.68岁,平均工作经验为8.75年。影响住院医院患者生命安全的因素主要分为五类,即组织资源不足、住院医院物理环境不适宜、住院医院文化不适宜、患者及其护理人员对安全项目的参与有限、预防跌倒项目不完善。本研究结果揭示了影响IRH中PS的因素。准确识别影响PS的因素可以帮助医疗保健提供者、管理人员和政策制定者使用多成分干预措施来改善PS文化并增加IRHs中的PS。还建议进行行动研究,以确定这些干预措施的主要组成部分。
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来源期刊
Hospital Topics
Hospital Topics Medicine-Medicine (all)
CiteScore
1.90
自引率
0.00%
发文量
44
期刊介绍: Hospital Topics is the longest continuously published healthcare journal in the United States. Since 1922, Hospital Topics has provided healthcare professionals with research they can apply to improve the quality of access, management, and delivery of healthcare. Dedicated to those who bring healthcare to the public, Hospital Topics spans the whole spectrum of healthcare issues including, but not limited to information systems, fatigue management, medication errors, nursing compensation, midwifery, job satisfaction among managers, team building, and bringing primary care to rural areas. Through articles on theory, applied research, and practice, Hospital Topics addresses the central concerns of today"s healthcare professional and leader.
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