走向患者安全的漫长道路:关于患者安全系统的现状报告
Daniel R Longo1, John E Hewett, Bin Ge
1Department of Family and Community Medicine, School of Medicine, University of Missouri-Columbia, MO 65212, USA. longod@health.missouri.edu
JAMA
|December 15, 2005
概括
自医学研究所 (IOM) 报告以来,医院患者安全系统的进展不大. 药物安全和计算机化医生订单输入等关键领域需要加快改进,以满足国际移民组织的建议.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 分析患者安全系统分析
- 医院管理研究 医院管理研究
背景情况:
- 医学研究所 (IOM) 的报告强调了医疗错误和质量问题.
- 一个范式的转变发生了,专注于护理系统而不是个人错误.
- 患者安全倡议旨在提高质量和保护患者.
研究的目的:
- 评估医院患者安全系统的现状.
- 随着时间的推移,识别患者安全系统的变化.
- 在两个合作国家的IOM报告之后评估进展.
主要方法:
- 2002年和2004年在密苏里州和犹他州的急症医院进行的调查.
- 使用了91项综合调查问卷.
- 分析了使用对107家响应两项调查的医院队列的变化.
主要成果:
- 患者安全系统的开发和实施是温和的.
- 一些医院报告说,患者安全系统的退化.
- 像手术这样的领域显示出强大的安全系统;药物安全性显示出改善,但药物的计算机化医生订单输入 (CPOE) 仅实现了34.1%.
结论:
- 医院的患者安全系统不符合国际移民组织的建议.
- 患者安全系统的进展缓慢且令人担忧.
- 加快努力对于提高患者安全至关重要.
相关概念视频
Introduction To Health Care Delivery System
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
Healthcare Associated Infections II: Preventive Measures
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
SBAR I: Understanding the Concept
Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
Standardized methods of communication have been developed to ensure that information is...
Standardized methods of communication have been developed to ensure that information is...
Types of Reports I: Hand-off Report
A hand-off report, also known as a change-of-shift report, is a crucial nursing process that ensures the smooth transition of patient care responsibilities between nursing staff.
Following are the key components and categories of hand-off reports:
Purpose and Process:
Following are the key components and categories of hand-off reports:
Purpose and Process:
Types of Reports II: Incident or Occurrence Report
An Incident or Occurrence Report in a healthcare setting is a crucial document used to record any unexpected occurrence that may or may not have affected a patient, employee, or visitor. Such reports are critical to improving patient safety and include all details leading up to and including the event.
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
Types of Reports III: Telephone and Verbal Reports
Telephone and Verbal Reports in healthcare settings are two communication methods for conveying therapeutic instructions from healthcare providers to nurses or other healthcare staff.
Here's an overview of each type:
Telephone Orders
Here's an overview of each type:
Telephone Orders

