The Correlation Between Neonatal Intensive Care Unit Safety Culture and Quality of Care.
The Correlation Between Neonatal Intensive Care Unit Safety Culture and Quality of Care.
复制标题
新生儿重症监护室安全文化与护理质量之间的相关性。
DOI：
10.1097/pts.0000000000000546
复制
发表时间：
2020-12
影响因子：
2.2
通讯作者：
Sexton JB
中科院分区：
文献类型：
--
作者：
Profit J;Sharek PJ;Cui X;Nisbet CC;Thomas EJ;Tawfik DS;Lee HC;Draper D;Sexton JB
补充数字内容可在文本中找到。关键的经验证的临床指标正在被单独使用和聚合（婴儿监测），以监测新生儿重症监护病房（NICU）的性能。对安全文化、安全氛围和团队合作的关键组成部分的感知与NICU护理质量相关的程度知之甚少。本研究的目的是测试NICU在关键临床指标上的表现是否与护理人员对安全文化的看法相关。44个新生儿重症监护病房6253例极低出生体重儿的横断面研究我们通过Baby-MONITOR及其9个风险调整和标准化的子组件（产前皮质类固醇，体温过低，气胸，医疗保健相关感染，慢性肺部疾病，视网膜病变筛查，任何母乳分泌物，生长速度和死亡率）测量临床质量。2073年的3294个合格的专业护理人员提供了安全和团队合作的气氛，使用安全态度问卷的评级自愿样本。我们检查了临床和安全文化评级之间的NICU水平差异，并对这些维度进行了相关性分析。我们发现NICU的临床和安全文化指标存在显着差异。新生儿重症监护室团队合作和安全气候评分与无医疗相关感染相关（分别为r = 0.39 [P = 0.01]和r = 0.29 [P = 0.05]）。其他临床指标，无论是单个指标还是复合指标，都与团队合作或安全氛围无关。新生儿重症监护室团队合作和安全气氛与医疗保健相关感染相关，但与其他质量指标无关。与临床质量指标的联系需要更多的研究。
Supplemental digital content is available in the text. Key validated clinical metrics are being used individually and in aggregate (Baby-MONITOR) to monitor the performance of neonatal intensive care units (NICUs). The degree to which perceptions of key components of safety culture, safety climate, and teamwork are related to aspects of NICU quality of care is poorly understood. The objective of this study was to test whether NICU performance on key clinical metrics correlates with caregiver perceptions of safety culture. Cross-sectional study of 6253 very low-birth-weight infants in 44 NICUs. We measured clinical quality via the Baby-MONITOR and its nine risk-adjusted and standardized subcomponents (antenatal corticosteroids, hypothermia, pneumothorax, healthcare-associated infection, chronic lung disease, retinopathy screen, discharge on any human milk, growth velocity, and mortality). A voluntary sample of 2073 of 3294 eligible professional caregivers provided ratings of safety and teamwork climate using the Safety Attitudes Questionnaire. We examined NICU-level variation across clinical and safety culture ratings and conducted correlation analysis of these dimensions. We found significant variation in clinical and safety culture metrics across NICUs. Neonatal intensive care unit teamwork and safety climate ratings were correlated with absence of healthcare-associated infection (r = 0.39 [P = 0.01] and r = 0.29 [P = 0.05], respectively). None of the other clinical metrics, individual or composite, were significantly correlated with teamwork or safety climate. Neonatal intensive care unit teamwork and safety climate were correlated with healthcare-associated infections but not with other quality metrics. Linkages to clinical measures of quality require additional research.
影响因子：
2.9
作者：
Kowalkowski, M.;Gould, J. B.;Bose, C.;Petersen, L. A.;Profit, J.
通讯作者：
Profit, J.