患者安全专业化?对英国国家医疗服务机构中患者安全专家角色的混合方法形成性评估结果。

IF 1.9 4区 医学 Q3 HEALTH POLICY & SERVICES Journal of Health Services Research & Policy Pub Date : 2024-08-02 DOI:10.1177/13558196241268441
Graham Martin, Robert Pralat, Justin Waring, Mohammad Farhad Peerally, Tara Lamont
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引用次数: 0

摘要

目标:虽然在其他高风险行业中,专门从事安全工作的专业人员很常见,但在医疗保健行业中,他们的工作范围相对较窄,且侧重于技术方面。我们采用混合方法对英国国家医疗服务机构中负责领导安全工作的新型高级职位--患者安全专家--进行了评估,并提交了初步评估结果。方法:我们对负责设计、开发和监督该职位的人员进行了访谈。我们还对现任患者安全专家进行了一次全国性调查。数据收集和分析的重点是设立该职位的理由、其变革理论以及将理论付诸实践的经验。结果:访谈参与者明确阐述了这一角色的变革理论,强调了这一角色的重点、角色担任者的资历、责任和影响力,以及他们所带来的专业知识可能会带来更好的安全管理,以及更快地实施管理风险和改善安全的举措。迄今为止,调查对象对这一角色的体验好坏参半,特别是在组织提供的物质和象征性支持方面。两个数据集的研究结果表明,需要在战略活动和业务活动之间取得谨慎的平衡,以确保患者安全专家的影响力,同时确保他们融入临床工作的实际情况中--并非所有的角色担任者都能轻易实现这种平衡。结论:患者安全专家角色的愿景是明确的,并得到了角色负责人如何通过工作实现预期目标的合理解释的支持。然而,不同机构对专家实现这些目标的支持和资源配置程度却存在明显差异。
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Professionalising patient safety? Findings from a mixed-methods formative evaluation of the patient safety specialist role in the English National Health Service.

Objectives: While safety-dedicated professional roles are common in other high-risk industries, in health care they have tended to have a relatively narrow, technical focus. We present initial findings from a mixed-methods evaluation of a novel, senior role with responsibility for leadership of safety in English National Health Service organisations: the patient safety specialist. Methods: We conducted interviews with those responsible for designing, developing and overseeing the introduction of the role. We also carried out a national survey of current patient safety specialists. Data collection and analysis focused on the rationale for the role, its theory of change, and experiences of putting the theory into practice. Results: Interview participants articulated a clear theory of change for the role, highlighting ways in which the focus of the role, the seniority, responsibility and influence of role holders, and the expertise they brought might result in better safety management and speedier implementation of initiatives to manage risk and improve safety. Survey respondents had mixed experiences of the role to date, particularly in terms of material and symbolic support from their organisations. Together, findings from the two datasets indicated the need for a careful balance between strategic and operational activities to secure impact for patient safety specialists while ensuring they were embedded in the realities of clinical work as done-a balance that not all role holders found easy to achieve. Conclusions: The vision for the patient safety specialist role is clear, and supported by a plausible account of how the work of role holders might result in the intended objectives. The degree to which specialists are supported and resourced to deliver on these ambitions, however, varies markedly across organisations.

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来源期刊
CiteScore
4.40
自引率
4.20%
发文量
39
期刊介绍: Journal of Health Services Research & Policy provides a unique opportunity to explore the ideas, policies and decisions shaping health services throughout the world. Edited and peer-reviewed by experts in the field and with a high academic standard and multidisciplinary approach, readers will gain a greater understanding of the current issues in healthcare policy and research. The journal"s strong international editorial advisory board also ensures that readers obtain a truly global and insightful perspective.
期刊最新文献
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