老年人住院的不安全护理:认证报告的内容分析
Peter D Hibbert1,2, Ruby Ash3, Charlotte J Molloy1,2
1Australian Institute of Health Innovation, Macquarie University, 75 Talavera Rd, North Ryde, Sydney, New South Wales 2109, Australia.
概括
认证报告揭示了老年护理中的许多居民安全风险,特别是在个人和临床护理中. 分析这些风险可以提高护理质量,并为更好的安全结果提供政策信息.
科学领域:
- 老年学是一门学科.
- 改善医疗保健质量 改善医疗保健质量
- 患者安全 患者安全
背景情况:
- 住宅老年护理服务面临的安全事件造成可预防的伤害.
- 认证用于提高护理质量,但报告中的叙事数据在学习中未得到充分利用.
- 澳大利亚的老年护理质量和安全委员会 (ACQSC) 进行了大量的评估,生成现场审计报告.
研究的目的:
- 在老年护理认证期间,识别与未达到的个人和临床护理标准相关的居民安全风险.
- 根据已识别的风险,为政策,监管和服务层面的优先设定提供信息.
主要方法:
- 根据世卫组织的患者安全与临床问题的国际分类制定了分析框架.
- 从65份ACQSC现场审计报告 (2020年9月 - 2021年3月) 中提取和内容分析安全事件信息.
- 将2267起事件分为274种居民安全风险类型.
主要成果:
- 确定了274种居民安全风险,其中前12种占事件的32.3%.
- 常见的风险包括感染控制,疼痛评估,节制使用,居民行为,跌倒和伤口管理阶段.
- 还发现了大量的低频安全风险.
结论:
- 认证报告提供了有价值的数据来优先考虑澳大利亚住宅老年护理中的居民安全风险.
- 建议实施科学和提高员工技能,以应对已识别的安全风险,特别是在评估和伤口护理方面.
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