Priorities for Pediatric Patient Safety Research
Priorities for Pediatric Patient Safety Research
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DOI：
10.1542/peds.2018-0496
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发表时间：
2019-02-01
期刊：
影响因子：
8
通讯作者：
Walsh, Kathleen E.
中科院分区：
文献类型：
--
作者：
Hoffman, James M.;Keeling, Nicholas J.;Walsh, Kathleen E.
背景：制定一个侧重于关键利益攸关方优先事项的研究议程，可加快执行和传播。我们的目标是确定儿科临床医生，医疗保健领导者和家庭中最优先的患者安全研究主题。方法：儿童医院患者安全解决方案网络是一个由超过100家儿童医院组成的网络，共同努力消除医疗保健造成的伤害。家长和网站负责人回应了一个开放式的，匿名的电子邮件调查，用于引出研究主题。一个主要利益攸关方小组筛选了相关主题，并使用李克特量表评级确定了主题的优先次序。网站负责人和家长回应了第二次匿名电子邮件调查，并对每个主题的重要性进行了评级。使用卫生系统高管访谈来征求他们对患者安全研究首要任务的意见。结果：启发式调查有107名受访者，他们产生了49个独特的研究主题。主要利益攸关方小组拟定了一份24个议题的最后清单。优先次序调查有74个答复者。最优先的研究课题涉及高可靠性，安全文化，开放式沟通，以及早期发现患者恶化和败血症。在7个定性访谈中，卫生系统管理人员强调诊断错误，用药安全，恶化和门诊病人的安全作为优先领域。结论：有了这项研究，我们采取了第一步，以利益相关者为驱动的研究议程的基础上的假设，利益相关者是最好的定位，以确定什么样的研究将被用来解决他们最关心的问题。
BACKGROUND: Developing a research agenda that is focused on the priorities of key stakeholders may expedite implementation and dissemination. Our objective was to identify the highest-priority patient-safety research topics among pediatric clinicians, health care leaders, and families. METHODS: The Children's Hospitals Solutions for Patient Safety Network is a network of >100 children's hospitals working together to eliminate harm due to health care. Parents and site leaders responded to an open-ended, anonymous e-mail survey used to elicit research topics. A key stakeholder panel winnowed related topics and prioritized topics using Likert scale ratings. Site leaders and parents responded to a second anonymous e-mail survey and rated the importance of each topic. Health system executive interviews were used to elicit their opinions regarding top priorities for patient-safety research. RESULTS: The elicitation survey had 107 respondents who produced 49 unique research topics. The key stakeholder panel developed a final list of 24 topics. The prioritization survey had 74 respondents. Top-priority research topics concerned high reliability, safety culture, open communication, and early detection of patient deterioration and sepsis. During 7 qualitative interviews, health system executives highlighted diagnostic error, medication safety, deterioration, and ambulatory patient safety as priority areas. CONCLUSIONS: With this study, we take a first step toward a stakeholder-driven research agenda on the basis of the assumption that stakeholders are best positioned to determine what research will be used to address the problems of most concern to them.