滥用行为索赔数据作为质量改进工具. 我. 我. 我. 我. 我. 我. 我. 在四个专业的错误流行病学
R L Kravitz1, J E Rolph, K McGuigan
1RAND Corporation, Santa Monica, CA 90406-2138.
JAMA
|October 16, 1991
概括
产科,手术,麻醉和放射学方面的医疗错误通常源于患者管理问题. 分析错误处理索赔可以揭示可以预防的医疗伤害,并指导改善护理质量.
科学领域:
- 医疗失误研究 医疗失误研究
- 患者的安全性 患者安全性
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 医疗错误有助于严重伤害患者.
- 识别疏忽的来源对于改善患者的治疗结果至关重要.
- 错误实践索赔提供了对临床过程失败的见解.
研究的目的:
- 在关键的外科和医疗专业中确定可预防的医疗伤害原因.
- 分析导致不当行为索赔的错误类型.
- 了解医疗疏忽的临床和财务后果.
主要方法:
- 追溯审查医生的医疗疏忽索赔.
- 对来自新泽西州一家大型失职保险公司 (1977-1989) 索赔数据的分析.
- 将错误分类为患者管理,技术性能和人员协调.
主要成果:
- 患者管理错误是产科,妇科,整体外科,麻醉学和放射学中最常见的索赔原因.
- 管理错误与更严重的伤害和更高的付款有关.
- 协调问题占据了约9%的索赔;在妇科手术和整体外科手术中,执行错误很常见.
结论:
- 错误实践索赔数据是识别容易出现错误的临床过程的宝贵工具.
- 针对已识别的问题领域的干预措施可以帮助减少医疗疏忽.
- 对索赔数据的系统分析可以提高患者安全和护理质量.
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