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Updated: Jun 11, 2025

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高齢者の急性期ケアにおける診断エラーのリスク最小化：学際的な患者安全への挑戦

Baker Nawfal Jawad1,2, Kirstine Zink Pedersen3, Ove Andersen1,2,4

  • 1Department of Clinical Research, Copenhagen University Hospital Amager and Hvidovre, Hvidovre, 2650 Copenhagen, Denmark.

Healthcare (Basel, Switzerland)
|September 28, 2024
PubMed

現代のヘルスケアシステムは、診断別のクリニカルパスや治療プロトコルに従って組織化される傾向が強まっています。同時に、単一診断のアプローチでは対応できない複雑な問題やニーズを持つ患者が増加しており、それが診断エラーの高い有病率につながっています。本記事では、救急外来（ED）における急性期入院の最初の数時間において、高齢患者のケアニーズに対する診断やアセスメントの見落とし、あるいは不十分な実施から生じる診断エラーのリスクに焦点を当てます。EDで行われる臨床決定は、その後のプロセスの各段階における患者の安全性に影響を与え、それによって新たなリスクが生じる可能性があるため、この点に着目することは患者の安全性を向上させる上で重要です。急性期ケアの文脈における臨床的意思決定と診断エラーに関する考察に基づき、我々は患者の安全性を向上させるためのより包括的な学際的アプローチを提案します。このアプローチは、組織的研究と臨床研究を統合し、異なる臨床的・組織的な文脈において、患者の安全性に対するリスクがどこで、いつ、どのように、そしてなぜ発生するのかを検証するものです。

キーワード:
急性期ケア臨床的意思決定診断エラー学際的研究

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