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背景有益安全素养对有效提高患者安全性来说必不可少。目的评估两种患者安全素养干预对全科医学事故报道的影响。设计和地点使用混合方法进行一项整群随机化试验,在荷兰30所全科医学诊所进行患者安全素养问卷调查(干预1组)、以实践为基础的研讨会作为补充的问卷调查(干预2组)和无干预(控制组),研究这3种情况的效果。方法首要结局指标是全科医学事故报道数量,于研究开始和研究1年后进行评估。使用负二项式模型对数据进行分析。次要结局指标是质量、安全指标和安全素养。对安全素养问卷进行混合效果线性回归分析。结果干预1组与干预2组的全科医学事故报道数量均有所增长,分别增加了82个和224个。依据基线全科医学事故数量、诊所规模和认证状态进行调整,研究表明干预2组诊所全科医学事故报道数量是控制组诊所的42倍〔95%CI(9.81,177.50)〕,干预1组诊所全科医学事故报道数量是控制组诊所的5倍〔95%CI(1.17,25.49)〕。在随访调查中,3组患者安全素养员工感知方面比较,差异无统计学意义(P<0.05)。结论员工接受患者安全素养教育和进行相关讨论能够提高全科医学事故报道数量,增加相关团队智慧投入,有利于提高患者安全性。
Background Beneficial safety literacy is essential for effective patient safety. Objective To assess the impact of safety literacy interventions on general medical reporting in both patients. Design and location A randomized, cluster-based trial using a hybrid approach was conducted in 30 general practice clinics in the Netherlands (intervention 1), practice-based workshops as a supplementary questionnaire (intervention 2 Group) and no intervention (control group) to study the effect of these three conditions. Method The primary outcome measure is the number of reported general medical incidents, which are assessed at the start of the study and one year after the study. The data is analyzed using a negative binomial model. Secondary outcome measures are quality, safety indicators and safety literacy. The safety literacy questionnaire was mixed with linear regression analysis. Results The number of general medical incidents in intervention group 1 and intervention group 2 increased by 82 and 224, respectively. According to the number of general medical accidents at baseline, the size of clinics and the status of certification, the study showed that the number of general medical interventions in the two intervention groups was 42 times [95% CI (9.81, 177.50)] in the control group clinics and 1 in the intervention group The number of reported general medical incidents was five times higher than that of the control group [95% CI (1.17, 25.49)]. In the follow-up survey, there was no significant difference between the three groups in safety literacy staff perception (P <0.05). Conclusion Employee acceptance of safety literacy education and related discussions can increase the number of general medical reports and increase the wisdom of relevant team members, which is beneficial to improve patient safety.