UNDERSTANDING PATIENT CARE AS A MULTITEAM SYSTEM
UNDERSTANDING PATIENT CARE AS A MULTITEAM SYSTEM
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DOI：
10.1108/s1534-085620140000016004
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发表时间：
2014-01-01
期刊：
影响因子：
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通讯作者：
Palesis, John A.
中科院分区：
文献类型：
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作者：
DiazGranados, Deborah;Dow, Alan W.;Palesis, John A.
目的-本章的目的是突出一些关键的多团队系统（MTS）的问题，在医疗保健中所面临的利用案例研究，说明了病人通过医疗保健系统的过渡，并提出了一种可能的方法来研究这些问题。设计/方法/方法-作者采取的方法是一个案例研究的方法，其用于示出患者通过保健系统中的几个场所的过渡。这种方法阐明了医疗保健的MTS性质。此外，一种方法论的解释，社会网络分析（SNA），探索的描述和分析MTSs在healthcare provided.Findings -案例研究的方法提供了具体的例子之间的复杂关系的供应商照顾一个病人。该案例研究描述了医疗保健中的共享实践的范围，从每个环境中的协作护理到跨环境团队之间不太明显的相互依赖。这种相互依赖对于提供复杂的护理是必要的，但也是护理过程中潜在错误的来源。SNA是一种工具，以量化这些关系，将它们与结果，并建立未来的研究和质量改进的努力领域。独创性/价值-本章提供了一个独特的整体观，通过医疗保健系统的病人的过渡和相互依赖的护理提供必要的护理。作者展示了一种评估MTSs的方法，并讨论了如何利用SNA。这个基础可能提供承诺，以更好地了解护理服务和形状的计划，可以导致改善护理。
Purpose -The purpose of this chapter is to highlight some of the critical multiteam system (MTS) issues that are faced in healthcare by utilizing case studies that illustrate the transition of a patient through the healthcare system and suggest a possible approach to studying these issues.Design/methodology/approach - The approach taken by the authors is a case study approach, which is used to illustrate the transition of a patient through several venues in a healthcare system. This approach elucidates the MTS nature of healthcare. Moreover, a methodological explanation, social network analysis (SNA), for exploring the description and analysis of MTSs in healthcare is provided.Findings - The case study approach provides concrete examples of the complex relationship between providers caring for a single patient. The case study describes the range of shared practice in healthcare, from collaborative care within each setting to the less obvious interdependence between teams across settings. This interdependence is necessary to deliver complex care but is also a source of potential errors during care. SNA is one tool to quantify these relationships, link them to outcomes, and establish areas for future research and quality improvement efforts.Originality/value - This chapter offers a unique holistic view of the transition of a patient through a healthcare system and the interdependency of care necessary to deliver care. The authors show a methodology for assessing MTSs with a discussion of utilizing SNA. This foundation may offer promise to better understand care delivery and shape programs that can lead to improvement in care.