اولویت‌بندی معیارهای ارزیابی عملکرد مدیریت ایمنی بیمار در مراکز درمانی

محورهای موضوعی : -مدارک پزشکی

سیده شبنم عظیمی حسینی ¹ (دانشجوی دکتری، گروه مدیریت محیط زیست، واحد علوم و تحقیقات، دانشگاه آزاد اسلامی، تهران، ایران)
نبی اله منصوری ² (استاد، گروه مهندسی محیط زیست، واحد علوم و تحقیقات، دانشگاه آزاد اسلامی، تهران، ایران)
رضا عزیزی نژاد ³ (استادیار، گروه بیوتکنولوژی و به‌نژادی، واحد علوم و تحقیقات، دانشگاه آزاد اسلامی، تهران، ایران)
حسن کریم زادگان ⁴ (استادیار، گروه مهندسی محیط زیست، واحد لاهیجان، دانشگاه آزاد اسلامی، لاهیجان، ایران)

تاریخ دریافت : 1398/12/24 تاریخ پذیرش : 1399/07/22 تاریخ انتشار : 1399/07/01

کلید واژه: ایمنی بیمار, ارزیابی عملکرد, مراکز درمانی,

چکیده مقاله :

مقدمه: خدمات غیرایمن در عرصه سلامت هم چنان یک معضل جهانی گسترده به شمار می آید. گرچه در دهه گذشته پیشرفت قابل ‌ملاحظه‌ای رخ داده است اما هنوز کاستی های متعددی وجود دارد و میزان آسیب های تحمیل‌شده به بیماران به طور غیرقابل قبولی بالاست. ازآنجاکه ارزیابی مراکز درمانی منجربه بهبود عملکرد، افزایش سلامت، کاهش حوادث و در نهایت افزایش رضایت بیماران، به عنوان یکی از مهم ترین ذینفعان این مراکز می گردد، وجود معیارهای ارزیابی ضروری است و مطالعه ای یافت نگردید که به معرفی و اولویت بندی این معیارها بپردازد. روش پژوهش: با بررسی مهم ترین روش های ارزیابی مراکز درمانی، معیارهای مرتبط با ایمنی بیمار،جمع آوری گردیده و میزان اهمیت آنان با استفاده از نظر خبرگان و از طریق روش آنتروپی تعیین می گردد. یافته‌ها: یافته های این پژوهش منجربه استخراج معیارهای مدیریت ایمنی بیمارگردید که به معیار بهداشت و کنترل عفونت در تمامی روش های ارزیابی بررسی شده، اشاره شده است .در نهایت موارد مذکور در 19 معیار گروه بندی و اولویت بندی گردید که معیارهای امکانات درمانی و پایش بیمار و مدیریت ایمنی بیمار به ترتیب با کسب اوزان 0/0987 و 0/0855 بیشترین جایگاه اهمیت را از منظر خبرگان پژوهش به دست آوردند. نتیجه‌گیری: در روش های ارزیابی و مطالعات بررسی شده، معیارهای متفاوتی در زمینه مدیریت ایمنی بیمار ارائه شده است که جمع آوری و بررسی آنان، بستری مناسب جهت ایجاد روش ارزیابی جامعی را فراهم می آورد. بنابراین از نتایج این تحقیق می‌توان در جهت خودارزیابی، مقایسه مراکز مختلف و در نتیجه بهبود عملکرد استفاده نمود.

چکیده انگلیسی:

Introduction: Unsafe health services are still a widespread global problem. Although significant progress has been made in the last decade, there are still numerous shortcomings and the rate of harm inflicted on patients is unacceptably high. Since the evaluation of medical centers leads to improved performance, increased health, reduced accidents and ultimately increased patient satisfaction as one of the most important stakeholders of these centers, the existence of evaluation criteria is essential. No study was found to introduce and prioritize these criteria. Methods: By reviewing the most important methods of evaluation of healthcare centers, criteria related to patient safety are extracted and their importance is determined using the opinion of experts and through entropy method. Results: The findings of this study led to the establishment of a database of patient safety management criteria that the health and infection control criteria in all evaluation methods have been mentioned. Finally, the mentioned cases were grouped and prioritized to 19 criteria that the criteria of medical facilities and patient monitoring and patient safety management gained the most important position from the perspective of research experts by gaining weights of 0.0987 and 0.0855, respectively. Conclusion: In the evaluation methods and studies, different criteria in the field of patient safety management have been presented, the collection and review of which provide a suitable context for the establishment of a comprehensive evaluation method. Therefore, the results of this research can be used for self-assessment, comparison of different centers and thus improving performance.

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