Large scale organisational intervention to improve patient safety in four UK hospitals: mixed method evaluation
Large scale organisational intervention to improve patient safety in four UK hospitals: mixed method evaluation
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DOI：
10.1136/bmj.d195
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发表时间：
2011-02-03
影响因子：
105.7
通讯作者：
Lilford, Richard
中科院分区：
文献类型：
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作者：
Benning, Amirta;Ghaleb, Maisoon;Lilford, Richard
目的对健康基金会的更安全患者倡议（SPI）的第一阶段进行独立评估，并确定SPI的净附加效应以及参与和非参与NHS医院变化的任何差异。设计前和设计后。设置英国NHS医院。参与者四家医院（英国每个国家一个）参与SPI第一阶段（SPI 1）; 18家对照医院。干预SPI 1是一种化合物，（多组分）组织干预提供了超过18个月的时间，重点是提高指定临床专科的特定一线护理流程的可靠性，组织和文化变革。结果高级员工对SPI 1知识渊博且充满热情。在5分量表上，有一个小的（0.08分）但显著（P
Objectives To conduct an independent evaluation of the first phase of the Health Foundation's Safer Patients Initiative (SPI), and to identify the net additional effect of SPI and any differences in changes in participating and non-participating NHS hospitals.Design Mixed method evaluation involving five substudies, before and after design.Setting NHS hospitals in United Kingdom.Participants Four hospitals (one in each country in the UK) participating in the first phase of the SPI (SPI1); 18 control hospitals.Intervention The SPI1 was a compound (multicomponent) organisational intervention delivered over 18 months that focused on improving the reliability of specific frontline care processes in designated clinical specialties and promoting organisational and cultural change.Results Senior staff members were knowledgeable and enthusiastic about SPI1. There was a small (0.08 points on a 5 point scale) but significant (P