Evaluating Safety Initiatives in Healthcare.
Evaluating Safety Initiatives in Healthcare.
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评估医疗保健领域的安全举措。
DOI：
10.1007/s40140-014-0059-4
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发表时间：
2014
影响因子：
1.3
通讯作者：
Pronovost,PeterJ
中科院分区：
文献类型：
--
作者：
Latif,Asad;Holzmueller,ChristineG;Pronovost,PeterJ
在过去十年中，大量的注意力集中在确保改善日益复杂的医疗保健领域。这导致在患者安全的竞技场中做出了重大努力。如何最好地评估患者安全措施的有效性是一个重要的讨论问题。医疗保健领域的许多质量改进举措都很落后，很少有患者安全干预措施与循证医学具有相同的特征。我们将讨论一个框架的关键要素，作为一个例子，以帮助构建我们的思维和方法来回答这些问题。要素包括解释理论基础，使用适当的措施，详细说明所涉及的过程，并评估倡议本身以及围绕它的背景因素。
Substantial attention over the last decade has focused on ensuring improvement in the increasingly complex world of healthcare. This has resulted in significant efforts in the arena of patient safety. The issue of how best to evaluate the validity of patient safety initiatives is a matter of significant discussion. Many quality improvement initiatives in healthcare are poorly developed, with few patient safety interventions sharing characteristics with evidence based medicine. We will discuss the key elements of a framework as an example to help structure our thinking and approach to answer these questions. Elements include an explanation of the theoretical basis, the use of appropriate measures, detailing of the involved processes, and assessment of the initiative itself as well as the contextual factors surrounding it.