文章基本信息

标题：Utilizing leadership to achieve high reliability in the delivery of perinatal care
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作者：Carmen Parrotta ; William Riley ; Les Meredith 等
期刊名称：Journal of Healthcare Leadership
印刷版ISSN：1179-3201
电子版ISSN：1179-3201
出版年度：2012
卷号：4
页码：157-163
DOI：10.2147/JHL.S28747
出版社：Dove Medical Press Ltd
摘要：Highly reliable care requires standardization of clinical practices and is a prerequisite for patient safety. However, standardization in complex hospital settings is extremely difficult to attain and health care leaders are challenged to create care delivery processes that ensure patient safety. Moreover, once high reliability is achieved in a hospital unit, it must be maintained to avoid process deterioration. This case study examines an intervention to implement care bundles (a collection of evidence-based practices) in four hospitals to achieve standardized care in perinatal units. The results show different patterns in the rate and magnitude of change within the hospitals to achieve high reliability. The study is part of a larger nationwide study of 16 hospitals to improve perinatal safety. Based on the findings, we discuss the role of leadership for implementing and sustaining high reliability to ensure freedom from unintended injury.
关键词：care bundles; evidence-based practice; standardized care; process improvement