Academic Journal
Supporting Error Management and Safety Climate in Ambulatory Care Practices: The CIRSforte Study
| العنوان: | Supporting Error Management and Safety Climate in Ambulatory Care Practices: The CIRSforte Study |
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| المؤلفون: | Müller, Beate S., Lüttel, Dagmar, Schütze, Dania, Blazejewski, Tatjana, Pommée, Marina, Müller, Hardy, Rubin, Katharina, Thomeczek, Christian, Schadewitz, Romy, Heuzeroth, Reiner, Schwappach, David, Güthlin, Corina, Paulitsch, Michael, Gerlach, Ferdinand M. |
| المصدر: | Journal of Patient Safety ; ISSN 1549-8425 1549-8417 |
| بيانات النشر: | Ovid Technologies (Wolters Kluwer Health) |
| سنة النشر: | 2024 |
| الوصف: | Background To improve patient safety, it is important that healthcare facilities learn from critical incidents. Tools such as reporting and learning systems and team meetings structure error management and promote learning from incidents. To enhance error management in ambulatory care practices, it is important to promote a climate of safety and ensure personnel share views on safety policies and procedures. In contrast to the hospital sector, little research has been dedicated to developing feasible approaches to supporting error management and safety climate in ambulatory care. In this study, we developed, implemented, and evaluated a multicomponent intervention to address how error management and safety climate can be improved in ambulatory care practices. Methods In a prospective 1-group pretest-posttest implementation study, we sought to encourage teams in German ambulatory practices to use proven methods such as guidelines, workshops, e-learning, (online) meetings, and e-mail newsletters. A pretest-posttest questionnaire was used to evaluate level and strength of safety climate and psychological behavioral determinants for systematic error management. Using 3 short surveys, we also assessed the state of error management in the participating practices. In semistructured interviews, we asked participants for their views on our intervention measures. Results Overall, 184 ambulatory care practices nationwide agreed to participate. Level of safety climate and safety climate strength (rwg) improved significantly. Of psychological behavioral determinants, significant improvements could be seen in “action/coping planning” and “action control.” Seventy-six percent of practices implemented a new reporting and learning system or modified their existing system. The exchange of information between practices also increased over time. Interviews showed that the introductory workshop and provided materials such as report forms or instructions for team meetings were regarded as helpful. Conclusions A significant ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1097/pts.0000000000001225 |
| DOI: | 10.1097/PTS.0000000000001225 |
| الاتاحة: | http://dx.doi.org/10.1097/pts.0000000000001225 https://journals.lww.com/10.1097/PTS.0000000000001225 |
| Rights: | http://creativecommons.org/licenses/by-nc-nd/4.0/ |
| رقم الانضمام: | edsbas.8F44B07 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1097/pts.0000000000001225 |
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