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产科和妇科医疗错误的原因
Désirée Klemann1,2, Maud Rijkx3, Helen Mertens4
1Department of Gynaecology and Obstetrics, Maastricht University Medical Centre+, 6229 HX Maastricht, The Netherlands.
Healthcare (Basel, Switzerland)
|June 10, 2023
概括
产科和妇科的医疗错误通常是由延迟的医疗保健,差的护理协调和人员短缺造成的. 解决这些因素可以帮助预防不良事件并提高患者的安全性.
科学领域:
- 医疗安全 医疗安全
- 改善医疗保健质量 改善医疗保健质量
- 产科和妇科 产科和妇科
背景情况:
- 医疗保健系统利用质量战略和框架来提高理解.
- 报告不良事件是提高质量的关键策略.
- 产科和妇科是具有高不良事件率的专业.
研究的目的:
- 确定产科和妇科医学错误的主要原因.
- 确定这些专业中医疗错误的预防措施.
- 进行现有文献的系统审查.
主要方法:
- 按照Prisma 2020指南进行的系统审查.
- 在多个数据库中搜索了2010年1月至2023年5月期间发表的研究.
- 包括确定医疗错误或妇产科/妇产科不良事件的医院级风险因素的研究.
主要成果:
- 在定量分析中包括了26篇文章.
- 常见的因素包括医疗保健的延迟,产品的可用性和训练有素的工作人员.
- 团队培训和沟通经常被引用与近距离碰撞和孕产妇死亡有关.
结论:
- 鉴定出的风险因素分为三个主要类别:护理延迟,护理协调/管理以及资源短缺 (供应,人员,知识).
- 这些发现突出了干预减少医疗错误的关键领域.
- 改善这些领域可以提高产科和妇科的患者安全.
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