Kompleksinis pacientų saugos įvykių valdymas Lietuvos ligoninėse

Abstract

Patients contact hospitals for help, but every tenth of them incur damages as a result of adverse events. The dissertation raises and analyses the problem of patient safety event management at hospitals and defines the lack of managerial-organisational mechanism that forms the basis for efficient and effective patient safety event management systems at hospitals to implement patient safety strategies, programmes and measures based on best practice and international and national recommendations. The aim of the research is to develop a model for comprehensive management of patient safety events (the Model) and substantiate its use at hospitals. Part One of the dissertation analyses the theoretical issues related to the development of the Model and introduces the key principles on the basis of which the Model was developed by taking into consideration the experience of patient safety movements. Part Two of the dissertation discusses the methodical and methodological issues arising from the performed empiric (quantitative and two-phase qualitative) research, including related organisational aspects. Part Three of the dissertation introduces the results of the research and the Model itself, including its composition, function, operational context and challenges in adaptation. Finally, research-based conclusions and recommendations are provided.