通过使用患者安全事件报告,在系统层面调查产妇护理中的种族和民族差异
Joint Commission journal on quality and patient safety
|July 22, 2023
概括
患者安全事件报告揭示了母亲护理方面的差异. 非西班牙裔黑人患者面临不成比例地更高的不良事件风险,突出了综合健康公平和患者安全倡议的需要.
科学领域:
- 孕产妇健康 孕产妇健康
- 健康 公平 卫生 公平
- 患者安全 患者安全
背景情况:
- 美国的孕产妇死亡率和严重孕产妇发病率很高.
- 有色人种的妇女和分娩人员经历了不成比例地更高的死亡率和SMM.
- 超过一半的产妇死亡和SMM病例是可以预防的.
研究的目的:
- 调查有助于造成不良孕产妇结果的系统问题.
- 检查在孕产妇护理中的种族和民族差异.
- 利用患者安全事件报告来识别护理缺口.
主要方法:
- 从劳动和分娩 (L&D) 和产前/产后 (A&P) 部门审查了患者安全事件报告.
- 在一家大型学术医院分析了2019-2020年的528起事件.
- 统计评估了跨种族/族群报告事件的差异.
主要成果:
- 64.8%的报告来自L&D; 35.2%来自A&P.
- 非西班牙裔黑人 (NHB) 患者在事件报告中占比不大 (43.2%的报告与36.5%的人口相比).
- 在NHB患者中,不良事件的风险较高 (OR 1.25),但在调整剖腹产后,这种风险降低了.
结论:
- 整合患者安全和健康公平努力至关重要.
- 医院必须识别和解决在孕产妇健康方面的种族/民族差异.
- 提供了建议,以提高母亲护理的安全性和公平性.
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