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引用次数: 0
摘要
自 2000 年出版《To Err Is Human: Building a Safer Health System》以来,围手术期越来越重视避免不良事件和提供安全的患者护理。围术期不良事件仍时有发生,而且很可能报告不足。围手术期护理的跨学科性质和高成本可能会使医务人员不敢直言,因为他们害怕在报告时遭到报复和惩罚。医疗机构的领导者可以实施一种公正的文化,将重点放在改善患者护理流程和安全性上,而不是在不良事件发生后进行指责。公正文化的宗旨是实现系统与个人之间的平衡问责。实施公正文化的策略包括领导者的支持、报告政策和程序、报告系统的可及性、为员工提供信息、确定支持拥护者,以及创建良好的监督计划。领导者还应衡量和跟踪其机构在公正文化方面取得的进展。
Creating a Just Culture in the Perioperative Setting.
There has been an increased perioperative focus on avoiding adverse events and providing safe patient care since To Err Is Human: Building a Safer Health System published in 2000. Adverse events continue to occur in perioperative areas and are likely underreported. The interdisciplinary nature and high cost of perioperative care may discourage personnel from speaking up for fear of retribution and punishment when reporting. Organization leaders can implement a just culture that focuses on improving patient care processes and safety rather than placing blame after an adverse event. A tenet of just culture is achieving balanced accountability between systems and individuals. Strategies for just culture implementation include leader support, policies and procedures for reporting, accessibility of reporting systems, provision of information for staff members, identification of support champions, and creation of a good catch program. Leaders also should measure and track progress associated with the just culture in their facility.
期刊介绍:
The AORN Journal provides professional perioperative registered nurses with evidence-based practice information needed to help meet the physiological, behavioral, safety, and health system needs of a diverse patient population.
Journal content supports the clinical, research/quality improvement, education, and management strategies related to the nurse''s role in caring for patients before, during, or after operative and other invasive and interventional procedures in ambulatory and inpatient settings.