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Title:Kakovost in varnost zdravstvene obravnave otrok na oddelku za intenzivno terapijo
Authors:ID Krajnik, Kim (Author)
ID Zupančič, Vesna (Mentor) More about this mentor... New window
Files:.pdf MAG_Krajnik_Kim_2025.pdf (1,92 MB)
MD5: E70C6570708E2A7B6C729F64D9827091
 
Language:Slovenian
Work type:Master's thesis/paper
Organization:UNM FZV - University of Novo mesto - Faculty of Health Sciences
Abstract:Izhodišča: Kakovost in varnost pacientov je stvar vseh zdravstvenih delavcev. Zdravstvene organizacije morajo imeti razvito kulturo varnosti. Danes število sprejemov v enote intenzivne terapije otrok narašča in stopnja umrljivosti pada, zato se fokus ciljev in uspešnosti preusmerja s preživetja na kakovost preživetja. Namen raziskave je bil pridobiti podatke o stanju kakovosti in varnosti ter potrebah po izboljšavah, zlasti pri ravnanju z zdravili. Cilj raziskave je bil predstaviti ukrepe za zagotavljanje varnosti in kakovosti, raziskati, kako medicinske sestre zaznavajo varnost in kakovost na področju zdravil, in ugotoviti možnosti za izboljšave. Na podlagi ugotovitev je bil razvit kontrolni seznam. Metoda: Izvedli smo deset polstrukturiranih intervjujev z medicinskimi sestrami, zaposlenimi na Oddelku za intenzivno terapijo otrok Pediatrične klinike Ljubljana. Intervju je vseboval pet glavnih vprašanj in nekaj podvprašanj. Intervjuvanje smo izvedli v prostorih Pediatrične klinike in so bili glasovno snemani. Za analizo smo jih dobesedno prepisali in izvedli odprto kodiranje. Rezultati: V kaotičnem okolju intenzivne terapije otrok, kjer so delovni pogoji pogosto zahtevni in stresni, je število odklonov in napak nizko. To nakazuje, da si osebje aktivno prizadeva za dosledno in skrbno izvajanje svojih nalog. Zavedanje medicinskih sester o pomenu poročanja o odklonih predstavlja ključen dejavnik pri izboljševanju varnosti in kakovosti zdravstvene oskrbe, saj omogoča analizo in odpravljanje morebitnih težav ter povečuje učinkovitost procesov. Razprava: Enota intenzivne terapije otrok je zelo specifično okolje, kjer je potrebno spodbujanje kulture varnosti, poročanje o odklonih, sprejemanje ukrepov in vpeljevanje izboljšav. Pri tem je pomembno dobro vodstvo, ki vodi in motivira svoje zaposlene.
Keywords:kakovost, varnost, intenzivna terapija otrok, varnost zdravil, kontrolni seznam.
Year of publishing:2025
PID:20.500.12556/ReVIS-11484 New window
COBISS.SI-ID:228087555 New window
Publication date in ReVIS:26.02.2025
Views:305
Downloads:8
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Secondary language

Language:English
Title:Quality and safety of health care children in the intensive care unit
Abstract:Theoretical basis: Patient quality and safety are the responsibility of all healthcare professionals. Healthcare organizations must develop a culture of safety. Nowadays, the number of admissions to pediatric intensive care units is increasing, while mortality rates are decreasing, shifting the focus of goals and performance from survival to quality of survival. The aim of the study was to gather data on the state of quality and safety and the needs for improvements, particularly in medication management. The study's objectives included presenting measures to ensure safety and quality, exploring nurses' perceptions of safety and quality regarding medications, and identifying opportunities for improvement. Based on the findings, a checklist was developed. Method: We conducted ten semi-structured interviews with nurses working in the Pediatric Intensive Care Unit at the Pediatric Clinical Center in Ljubljana. The interviews consisted of five main questions and several sub-questions, conducted in the facilities of the Pediatric Clinic and recorded via audio. We transcribed the interviews verbatim and performed open coding for analysis. Results: In the chaotic environment of pediatric intensive care, where working conditions are often challenging and stressful, the number of deviations and errors is low. This suggests that the staff is actively striving for consistent and careful execution of their tasks. The awareness of nurses regarding the importance of reporting deviations is a crucial factor in improving the safety and quality of healthcare, as it allows for the analysis and resolution of potential issues and enhances process efficiency. Discussion: The pediatric intensive care unit is a highly specific area. It is essential to promote a culture of safety, report deviations, take corrective actions, and implement improvements. Effective leadership is vital for guiding and motivating staff.
Keywords:quality, safety, pediatric intensive care, medication safety, checklist.


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