医院中不良事件的发生和可预防性:一项回顾性研究
Antônio José de Lima Júnior1, Ariane Cristina Barboza Zanetti1, Bruna Moreno Dias1
1Universidade de São Paulo. Ribeirão Preto, São Paulo, Brazil.
巴西公立医院发生了可预防的不良事件的高发病率,影响了15.7%的患者. 与医疗保健相关的感染和手术是主要原因,需要改善患者护理实践.
科学领域:
- 医疗保健质量和患者安全研究.
- 临床流行病学和公共卫生.
背景情况:
- 医疗保健机构的不良事件对患者的福祉构成重大威胁.
- 了解可预防不良事件的发生率和原因对于改善医疗保健质量至关重要.
研究的目的:
- 确定巴西公立医院的成人患者中可预防的不良事件的发生率.
- 确定与这些事件相关的常见原因和风险因素.
主要方法:
- 回顾性,观察性和分析性研究设计.
- 审查370名成年患者的医疗记录.
- 数据收集的重点是不良事件,其原因,严重程度和可预防性.
主要成果:
- 副作用的发生率为15.7% (370名患者中有58名).
- 与医疗保健相关的感染 (47.1%) 和手术 (24.5%) 是主要原因.
- 大多数 (99%) 的不良事件是可以预防的,其中35.3%是严重的.
- 进入急诊室与3.73倍更高的风险有关.
结论:
- 巴西的公立医院经历了可避免的不良事件的高率.
- 临床实践中需要紧急干预,以减轻这些风险.
- 专注于感染控制和程序安全至关重要.
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