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在急诊室错过的护理服务:一个范围审查
Henrik Duhalde1, Kaisa Bjuresäter1, Ingela Karlsson1
1Department of Health Sciences, Faculty of Health, Science, and Technology, Karlstad University, Karlstad, Sweden.
由于患者负载和设计,急诊室 (ED) 经常错过护理服务,导致患者的需求未得到满足. 护士们认为这是不体面和不安全的,会影响患者的安全.
科学领域:
- 医疗保健管理的管理
- 护理实践 护理实践
- 患者安全 患者安全
背景情况:
- 患者安全是一个关键的全球卫生问题.
- 遗漏的错误,包括错过的护理,是常见的,并可能导致不良事件.
- 紧急诊所 (ED) 特别容易发生患者安全错误,护理错误的影响不太清楚.
研究的目的:
- 系统地审查和综合现有研究在急诊室 (EDs) 中错过的护理.
主要方法:
- 使用Arksey和O'Malley框架进行了全面的范围审查.
- 这涉及到确定研究问题,相关研究,数据提取和结果合成.
- 咨询也是审查过程的一个组成部分.
主要成果:
- 从55项研究中出现了20个主题,突出了遗漏护理护理的特征,例如延迟评估.
- 与患者数量相比,人员不足和ED设计是主要原因.
- 临床恶化和药物错误与错过的护理有关,损害了患者的安全和质量.
结论:
- 患者的基本需求在ED中经常无法得到满足,原因是患者负担很高和结构问题.
- 注册护士认为错过护理是不体面和不安全的,这强调了它对护理质量的负面影响.
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