عنوان انگلیسی مقاله:

Context in Quality of Care Improving Teamwork and Resilience

ترجمه عنوان مقاله: پیشینه کیفیت مراقبت بهبود کار تیمی و انعطاف پذیری

رشته: مدیریت

سال انتشار: 2017

تعداد صفحات مقاله انگلیسی: 13 صفحه

منبع: ساینس دایرکت

نوع فایل: pdf

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چکیده مقاله

Abstract

 Wide variation in neonatal intensive care unit quality of care exists, with differences in part attributable to variation in care context.  Teamwork is an important driver of health care quality, and can be improvedwith established team-training tools.  Individual resilience is a key contextual factor that may affect health care quality directly and indirectly via teamwork, and it can be coached.  Improvements in teamwork and resilience are expected to enhance health care quality improvement initiatives.

Keywords: Safety climate,  Teamwork  Quality,  Burnout  Resilience

مقدمه مقاله

Introduction

Improving the quality of health care is a substantial and widespread effort throughout the United States and the world, but patients continue to experience preventable harm on a daily basis.1 Despite the variability in estimates of preventable deaths (ranging  from 25,000–250,000 per year in the United States alone), it is clear that mortality from medical error remains a serious problem. Furthermore, nonfatal medical errors have been found to occur millions of times yearly. Adults and children receive recommended care only about half the time,5,6 with premature infants cared for in neonatal intensive care units (NICUs) experiencing similar variations in use, quality of health care, and in clinical outcomes. For example, health care–associated infection rates, growth velocity,13 and treatment of persistent pulmonary hypertension14 vary considerably.
 
Up to 3-fold differences in mortality9 and up to 44-fold variation in antibiotic use have been observed among NICUs. This observed variation in care is not merely a function of discrete differences in patient risk factors and care process guidelines but is an expression of differences in care contexts, which includes the contribution of each individual as well as the team. High-quality health care delivery is inherently reliant on providers maintaining individual excellence and working together effectively as a team. Poor teamwork and communication have been implicated in up to 72% of perinatal deaths and injuries and up to 30% of voluntary error reports.

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