住院患者不良事件率的趋势,2010年至2019年
Noel Eldridge1,2, Yun Wang3,4,5, Mark Metersky6
1Agency for Healthcare Research and Quality, US Department of Health and Human Services, Rockville, Maryland.
JAMA
|July 12, 2022
概括
从2010年至2019年,美国医院的患者安全性有所改善,主要疾病和所有其他疾病的不良事件显著减少. 需要进一步的研究来证实这些患者安全趋势.
科学领域:
- 医疗保健的质量和安全
- 医疗信息学
- 公共卫生
背景情况:
- 美国的患者安全是国家优先考虑的重要问题.
- 尽管它很重要,但缺乏对过去十年患者安全进展的全面评估.
- 了解不良事件的趋势对于评估医疗保健质量至关重要.
研究的目的:
- 确定美国住院患者不良事件发生率的变化.
- 在10年 (2010-2019) 期间评估患者安全方面的进展.
主要方法:
- 一项使用医疗保险患者安全监测系统 (2010-2019) 数据的连续横截面研究.
- 包括3156家美国急症医院的244,542名成年患者,重点关注四个疾病群体和"所有其他疾病".
- 不良事件被分为四个领域:药物事件,医院感染,手术后事件和一般不良事件.
主要成果:
- 在急性心肌梗塞,心力衰竭,肺炎和重大手术中,不良事件发生率显著下降.
- 对于"所有其他情况",调整后的不良事件率在2012年至2019年期间也显著下降.
- 在所有研究的患者群体中,药物不良事件,住院感染和一般不良事件的风险调整率显著下降.
结论:
- 该研究表明,2010年至2019年期间美国医院主要疾病和其他疾病的不良事件显著减少.
- 这些发现表明患者安全的积极趋势,尽管建议进一步研究以充分了解这些变化的程度.
- 观察到的特定不良事件类型的减少突显了医院护理质量的改善领域.
更多相关视频
相关概念视频
Issues And Trends In Healthcare Delivery System
5.8K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.8K
Current Trends in Nursing II
1.4K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
1.4K
Healthcare Associated Infections II: Preventive Measures
2.8K
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...
2.8K
Current Trends in Nursing I
1.7K
Current trends in nursing include:
1.7K
Hazard Rate
179
The hazard rate, also known as the hazard function or failure rate, is a statistical measure used to describe the instantaneous rate at which an event occurs, given that the event has not yet happened. From a probabilistic perspective, it represents the likelihood that a subject will experience the event in a very small time interval, conditional on surviving up to the beginning of that interval. In terms of frequency, the hazard rate can be viewed as the ratio of the number of events to the...
179
Types of Reports II: Incident or Occurrence Report
940
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...
940


