Improving patient safety in intensive care units in Michigan
Improving patient safety in intensive care units in Michigan
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DOI：
10.1016/j.jcrc.2007.09.002
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发表时间：
2008-06-01
影响因子：
3.7
通讯作者：
Sexton, J. Bryan
中科院分区：
文献类型：
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作者：
Pronovost, Peter J.;Berenholtz, Sean M.;Sexton, J. Bryan
目的：本研究的目的是描述的设计和经验教训，从实施大规模的病人安全协作和干预的影响，在重症监护病房（ICU）的团队合作气氛在整个国家的Michigan.Materials和Methods：本研究使用了一个协作模型，涉及研究人员从约翰霍普金斯大学和密歇根州健康和医院协会的改进。每个ICU的质量改进小组收集和提交基线数据，并实施质量改进干预措施。主要结局指标是使用安全态度问卷（SAQ）的团队合作氛围量表进行的安全文化评分的改善; 99个ICU提供了基线SAQ数据。还报告了通气患者依从循证干预的基线表现。改善安全文化的干预措施是以单位为基础的综合安全计划。的r（wg）统计措施在何种程度上有一个组consensus.Results：基线SAQ的总体应答率为72%。经统计学检验，团队气氛得分可有效反映ICU护理人员的团队气氛，平均r（wg）为0.840（SD = 0.07）。ICU之间的团队气氛在基线时差异显著（F-98，（5325）= 5.90，P
Purpose: The aim of this study was to describe the design and lessons learned from implementing a large-scale patient safety collaborative and the impact of an intervention on teamwork climate in intensive care units (ICUs) across the state of Michigan.Materials and Methods: This study used a collaborative model for improvement involving researchers from the Johns Hopkins University and Michigan Health and Hospital Association. A quality improvement team in each ICU collected and submitted baseline data and implemented quality improvement interventions. Primary outcome measures were improvements in safety culture scores using the Teamwork Climate Scale of the Safety Attitudes Questionnaire (SAQ); 99 ICUs provided baseline SAQ data. Baseline performance for adherence to evidence-based interventions for ventilated patients is also reported. The intervention to improve safety culture was the comprehensive unit-based safety program. The r(wg) statistic measures the extent to which there is a group consensus.Results: Overall response rate for the baseline SAQ was 72%. Statistical tests confirmed that teamwork climate scores provided a valid measure of teamwork climate consensus among caregivers in an ICU, mean r(wg) was 0.840 (SD = 0.07). Teamwork climate varied significantly among ICUs at baseline (F-98, (5325) = 5.90, P