کد مقاله کد نشریه سال انتشار مقاله انگلیسی ترجمه فارسی نسخه تمام متن
2649626 1139272 2014 7 صفحه PDF ندارد دانلود رایگان
عنوان انگلیسی مقاله
Does compliance to patient safety tasks improve and sustain when radiotherapy treatment processes are standardized?
ترجمه فارسی عنوان
آیا انطباق با وظایف ایمنی بیمار به هنگام استانداردسازی فرآیندهای درمان پرتودرمانی، بهبود و حفظ می شوند؟
کلمات کلیدی
انطباق؛ مدیریت ناب؛ دستورالعمل های عملیاتی استاندارد؛ گزارش حادثه؛ اهمیت وظیفه؛ ایمنی بیمار
Compliance; Lean management; Standard operating procedures; Incident reporting; Task importance; Patient safety
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی تومور شناسی
چکیده انگلیسی

PurposeTo realize safe radiotherapy treatment, processes must be stabilized. Standard operating procedures (SOP's) were expected to stabilize the treatment process and perceived task importance would increase sustainability in compliance. This paper presents the effects on compliance to safety related tasks of a process redesign based on lean principles.MethodCompliance to patient safety tasks was measured by video recording of actual radiation treatment, before (T0), directly after (T1) and 1.5 years after (T2) a process redesign. Additionally, technologists were surveyed on perceived task importance and reported incidents were collected for three half-year periods between 2007 and 2009.ResultsCompliance to four out of eleven tasks increased at T1, of which improvements on three sustained (T2). Perceived importance of tasks strongly correlated (0.82) to compliance rates at T2. The two tasks, perceived as least important, presented low base-line compliance, improved (T1), but relapsed at T2. The reported near misses (patient-level not reached) on accelerators increased (P < 0.001) from 144 (2007) to 535 (2009), while the reported misses (patient-level reached) remained constant.ConclusionsCompliance to specific tasks increased after introducing SOP's and improvements sustained after 1.5 years, indicating increased stability. Perceived importance of tasks correlated positively to compliance and sustainability. Raising the perception of task importance is thus crucial to increase compliance. The redesign resulted in increased willingness to report incidents, creating opportunities for patient safety improvement in radiotherapy treatment.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: European Journal of Oncology Nursing - Volume 18, Issue 5, October 2014, Pages 459–465
نویسندگان
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