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B7:患者主动快速反应:通过与患者及其家属合作革新医院安全.pdf

上传人: 彩旗 编号:1158696 2026-03-02 56页 3MB

1、Patient Activated Rapid Response&a National pilot for Marthas Rule:Revolutionising hospital safety by collaborating with patients&families Henrietta Hughes1,Merope Mills2,Chris Subbe3 1Patient Safety Commissioner,England2Marthas Mum,Senior Editor,The Guardian,UK3Physician,Ysbyty Gwynedd&Bangor Unive

2、rsity,Bangor,UK21/05/202500:00 Welcome&Introduction Content Who?Comments Introduction of speakers Conflicts of interest Slide with learning outcomes from submissionHH,MM&CPS21/05/2025Conflicts of Interest CPS:Member of the advisory board of the International Society for Rapid Response Systems Funded

3、 in parts through an Improvement Science Fellowship with the Health Foundation Member of Safe-Care-Collaborative Improvement CymruMM Senior Editor,The Guardian,UK21/05/2025Please note The content of the workshop contains potentially distressing information and may bring back some difficult experienc

4、es with loved ones in hospital.Please take some time out if you want or need to.21/05/20255/21/25In this session we will.1.Explore opportunities for collaborating with patients and families to enhance patient safety in hospital.2.Understand global variation in drivers for and impact of patient activ

5、ated rapid response systems.3.Identify behavioural drivers of patient safety using the COMB model and apply those to clinical deterioration in hospital.4.Map local barriers and enablers for working with patients to improve safety in hospitals through implementation of Patient Activated Rapid Respons

6、e systems.21/05/2025In this session we will.1.Explore opportunities for collaborating with patients and families to enhance patient safety in hospital.-Participants Experience-Literature Patient Powered Safety EHRs/Surgical Checklist Bergen/Apps 21/05/2025In this session we will.2.Understand global

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1. **患者激活快速响应(PARR)系统**:通过患者及家属主动预警临床恶化,提升医院安全。全球案例包括澳大利亚Ryan's Rule、新西兰"Korero Mai"等。 2. **Martha's Rule**:英国国家试点,143家医院参与,2024年9-10月收到573次预警,其中286次需临床评估,57次改变治疗(如抗生素、氧疗),14次转入ICU。 3. **行为驱动模型(COM-B)**:从能力、机会、动机三方面分析患者/家属及医护人员的行为,助力安全改进。 4. **关键数据**:英国每年约7,964例可避免死亡;PARR系统需结合患者中心指标(如预警比例)及结构化评估(如每周患者认知度)。 5. **实施挑战**:需克服患者使用率低、系统整合障碍,通过SEIPS模型(工具、任务、人员、系统)优化。
**患者如何救命?** **谁在忽视警报?** **规则如何改变?**
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