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使用现场模拟来识别紧急医学的潜在安全威胁:系统性审查

Margaret A Grace¹, Roisin O'Malley

¹From the Mater Misericordiae University Hospital, Dublin (M.G.); and National University of Ireland, Galway, Ireland (R.O.M.).

Simulation in healthcare : journal of the Society for Simulation in Healthcare

|September 19, 2023

概括

在现场模拟有效地识别紧急医学的潜在安全威胁,设备和团队合作/沟通是最常见的问题. 需要正式的流程来管理这些已识别的风险.

科学领域:

医疗模拟医疗模拟
患者安全患者安全
紧急医疗紧急医疗

背景情况:

在医疗保健环境中越来越多地使用现场模拟.
识别潜在的安全威胁对于改善患者护理至关重要.
紧急部门对安全评估提出了独特的挑战.

研究的目的:

审查有关实地模拟的文献,以识别紧急医学的潜在安全威胁.
综合使用的方法和发现的威胁的发现.

主要方法:

对2921篇文章进行了系统的文献搜索.
纳入标准侧重于在活跃的急救部门进行的研究,以确定安全威胁.
15篇文章符合审查的纳入标准.

主要成果:

通过汇报,模拟观察,调查和视频分析确定了潜在的安全威胁.
涉及多元专业投入的多模式方法产生了最多的威胁 (43个案例).
设备 (83%) 和团队工作/沟通 (67%) 是最常见的威胁.

结论:

在现场模拟是揭示紧急医学的潜在安全威胁的宝贵工具.
多学科的输入增强了威胁检测.
针对已识别的威胁,需要制定正式的风险管理策略.
建议对转化结果进行进一步的研究.

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