[1]喻婷 刘珊珊 蔡燕 胡紫宜 蒋艳.基于SEIPS模型的患者安全管理理论框架构建[J].中国卫生质量管理,2024,31(09):006-9.[doi:10.13912/j.cnki.chqm.2024.31.9.02]
 YU Ting,LIU Shanshan,CAI Yan.Construction of Theoretical Framework of Patient Safety Management Based on SEIPS Model[J].Chinese Health Quality Management,2024,31(09):006-9.[doi:10.13912/j.cnki.chqm.2024.31.9.02]
点击复制

基于SEIPS模型的患者安全管理理论框架构建()
分享到:

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第31卷
期数:
2024年09期
页码:
006-9
栏目:
特别关注
出版日期:
2024-09-15

文章信息/Info

Title:
Construction of Theoretical Framework of Patient Safety Management Based on SEIPS Model
作者:
喻婷 刘珊珊 蔡燕 胡紫宜 蒋艳
四川大学华西医院/四川大学华西护理学院
Author(s):
YU TingLIU ShanshanCAI Yan
West China Hospital,Sichuan University/West China College of Nursing,Sichuan University
关键词:
患者安全高可靠性组织患者安全系统工程模型(SEIPS)理论框架
Keywords:
Patient Safety High Reliability Organizations Systems Engineering Initiative to Patient Safety(SEIPS)Theoretical Framework
分类号:
R197.323
DOI:
10.13912/j.cnki.chqm.2024.31.9.02
文献标志码:
A
摘要:
患者安全是全球公共健康问题。以高可靠性组织理论为指导,基于患者安全系统工程(SEIPS)模型,构建患者安全管理理论框架。该框架包括人员、组织、技术/工具、任务、环境5个关键要素,10个可能导致患者安全问题的常见情景,患者、医护人员、医院三方结局,以及关注错误、全面反思、流程优化、管理反馈和创新变革5个核心原则。所构建的患者安全管理理论框架可为我国患者安全管理提供依据,提供人因工程学支持,对促进患者安全管理研究与实践具有一定意义。
Abstract:
Patient safety is a global public health issue. Based on the system engineering initiative to patient safety(SEIPS) and guided by the high reliability organization theory, the theoretical framework of patient safety management was constructed. The framework included five key elements: people, organization, technology/tool,task,and environment; 10 common scenarios that could lead to patient safety issues; tripartite outcomes for patients, doctors and nurses, and hospitals; and five core principles of focusing on errors, comprehensive reflection, process optimization, management feedback, and innovative change. The theoretical framework of patient safety management can provide a basis for patient safety management in China, provide support for human factors and ergonomics, and have a certain significance to promote the research and practice of patient safety management.

参考文献/References:

[1]World Health Organization. Excutive board 144th session Provisional agenda item 6.6: global action on patient safety[EB/OL].(2018-12-12)[2024-04-20].https://apps.who.int/gb/ebwha/pdf_files/EB144/B144_29-en.pdf.[2]World Health Organization. Patient safety[EB/OL]. (2023-09-11)[2024-04-20].https://www.who.int/news-room/fact-sheets/detail/patient-safety.[3]HODKINSON A, TYLER N, ASHCROFT DM, et al. Preventable medication harm across health care settings: a systematic review and meta-analysis[J]. BMC Med, 2020, 18(1): 313-315.[4]Institute for Healthcare Improvement. National steering committee for patient safety. A national strategy for reducing harm[EB/OL]. (2020-09-10)[2024-04-20].http://www.ihi.org/Engage/Initiatives/National-Steering-Committee-Patient-Safety/Pages/default.aspx. [5]国家卫生健康委办公厅.关于印发患者安全专项行动方案(2023-2025年)的通知:国卫办医政发〔2023〕13号[EB/OL].(2023-09-27)[2024-04-20].https://www.gov.cn/zhengce/zhengceku/202310/co ntent_6908044.htm.[6]姜 珊,裴艳玲,刘殿媛,等. 患者安全风险管理闭环式反馈控制管理模式的构建与应用[J]. 现代临床护理, 2022, 21(11): 50-56.[7]World Health Organization. Global patient safety action plan 2021-2030[EB/OL].( 2021-08-03)[2024-04-20]. https://www.who.int/teams/integrated-health-services/patient-safety/policy/global-patient-safety-action-plan.[8]RILEY W. High reliability and implications for nursing leaders[J]. J Nurs Manag, 2009, 17(2): 238-246.[9]HALES DN, CHAKRAVORTY SS. Creating high reliability organizations using mindfulness[J]. Journal of Business Research, 2016, 69(8): 2873-2881.[10]DESPINS LA, SCOTT-CAWIEZELL J, ROUDER JN. Detection of patient risk by nurses: a theoretical framework[J]. J Adv Nurs, 2010, 66(2): 465-474.[11]COOKE H. Theories of risk and safety: what is their relevance to nursing?[J].J Nurs Manag, 2009, 17(2): 256-264.[12]SANCHEZ JA, BARACH PR. High reliability organizations and surgical microsystems: re-engineering surgical care[J]. Surg Clin North Am, 2012, 92(1): 1-14.[13]MOSSBURG SE, WEAVER SJ, PILLARI M, et al. Manifestations of high-reliability principles on hospital units with varying safety profiles: a qualitative analysis[J]. J Nurs Care Qual, 2019, 34(3): 230-235.[14]刘 艳,崔 璀,唐方芳,等. 基于高可靠性组织理论的儿科住院患者意外伤害事件管理方法的实施及成效[J]. 中国护理管理, 2021, 21(7): 1069-1073.[15]刘 彤,肖明朝,赵庆华. 国际患者安全发展趋势分析及对我国的启示[J]. 中国卫生质量管理, 2023, 30(9): 1-5.[16]National Academy of Enfineering on,System Engineering and the Health.Building a better delivery system:a new engineering/health care partnership[M].Washington(DC):National Academies Press (US),2005:11-16.[17]MARSHALL SD,TOUZELL A.Human factors and the safety of surgical and anaesthetic care[J].Anaesthesia,2020,75(1):34-38.[18]CARAYON P, WETTERNECK TB, RIVERA-RODRIGUEZ AJ, et al. Human factors systems approach to healthcare quality and patient safety[J]. Appl Ergon, 2014, 45(1): 14-25.[19]CARAYON P, WOOLDRIDGE A, HOONAKKER P, et al. SEIPS 3.0: Human-centered design of the patient journey for patient safety[J]. Appl Ergon, 2020, 84:1-23.[20]HOLDEN RJ, CARAYON P. SEIPS 101 and seven simple SEIPS tools[J]. BMJ Qual Saf, 2021, 30(11): 901-910.[21]HWANG JI, KIM SW, PARK HA. Relationships between nurses’ work system, safety-related performance, and outcomes: a structural equation model[J]. J Patient Saf, 2021, 17(8): 1638-1645.[22]周 倩. 基于患者安全系统工程模型的医护人员感染防控行为影响机制研究[D]. 武汉:华中科技大学, 2022.[23]O’ROURKE M, CROWLEY S, GONNERMAN C. On the nature of cross-disciplinary integration:a philosophical framework[J].Stud Hist Philos Biol Biomed Sci,2016,56:62-70.[24]BUJA A, DAMIANI G, MANFREDI M, et al. Governance for patient safety: a framework of strategy domains for risk management[J]. J Patient Saf, 2022, 18(4): 769-800.[25]World Health Organization. WHO calls for urgent action to reduce patient harm in healthcare[EB/OL].(2019-09-13)[2024-04-20].https://www.who.int/zh/news/item/13-09-2019-who-calls-for-urgent-action-to-reduce-patient-harm-in-healthcare.[26]World Health Organization. Falls: key fact[EB/OL].(2021-09-10)[2024-04-20].https://www.who.int/news-room/fact-sheets/detail/falls. [27]国家卫生健康委.关于印发《三级医院评审标准(2022年版)》及其实施细则的通知:国卫医政发〔2022〕31号[EB/OL].(2022-12-06)[2024-04-20].www.gov.cn/zhengce/zhengceku/2022-12/18/content_5732583.htm.[28]VINCENT C, TAYLOR-ADAMS S, CHAPMAN EJ, et al. How to investigate and analyse clinical incidents: clinical risk unit and association of litigation and risk management protocol[J]. BMJ, 2000, 320(7237): 777-781.[29]聂立婷,徐 奇,殷秀敏,等. 患者参与患者安全行为理论模型的构建[J]. 中国医院管理, 2020, 40(10): 64-67.[30]吴晓悦. 基于SEIPS模型的互联网医院患者安全影响因素研究[D]. 武汉:华中科技大学, 2022.

相似文献/References:

[1]周新歌,孙琳,徐佳,等.患者安全评价指标体系研究[J].中国卫生质量管理,2015,22(06):064.
[2]滕苗,肖明朝,吕富荣,等.什么是RCA2[J].中国卫生质量管理,2016,23(02):016.[doi:10.13912/j.cnki.chqm.2016.23.2.06]
[3]陈秋霞 艾慧坚 滕苗 刘剑 肖明朝.国家报告和学习系统的发展与启示[J].中国卫生质量管理,2017,24(03):113.[doi:10.13912/j.cnki.chqm.2017.24.3.37]
[4]修燕 杨圆圆 何萍 温浩.基于信息系统的临床用药闭环管理[J].中国卫生质量管理,2018,25(02):074.[doi:10.13912/j.cnki.chqm.2018.25.2.24]
[5]杨巧 郑双江 陈登菊 肖明朝.应关注患者安全事件中第二受害者的支持需求[J].中国卫生质量管理,2018,25(03):038.[doi:10.13912/j.cnki.chqm.2018.25.3.13]
[6]薛嵋 郭小璐.日间化疗中心的护理安全管理实践[J].中国卫生质量管理,2018,25(04):035.[doi:10.13912/j.cnki.chqm.2018.25.4.11]
[7]唐文凤 蒋迎九 别梦军 肖明朝 赵庆华.一起PICC导管断裂的安全警示[J].中国卫生质量管理,2018,25(04):064.[doi:10.13912/j.cnki.chqm.2018.25.4.21]
[8]李跃荣 易凤琼 闵苏 赵庆华 肖明朝.手术部位标识错误的案例解析[J].中国卫生质量管理,2018,25(05):052.[doi:10.13912/j.cnki.chqm.2018.25.5.17]
[9]应千山 罗琳娜 朱玲凤 朱琳鸿 季一鸣 罗文达 徐颖鹤 缪滔 马宗庆 陈海啸.从错误中学习并成长:台州恩泽医疗中心的实践[J].中国卫生质量管理,2019,26(01):049.[doi:10.13912/j.cnki.chqm.2019.26.1.16]
[10]归纯漪 孙梅.上海市某三甲专科医院医疗风险相关事件调查分析[J].中国卫生质量管理,2019,26(02):053.[doi:10.13912/j.cnki.chqm.2019.26.2.17]

更新日期/Last Update: 2024-09-15