通过预防和团队合作 (ADEPT) 研究协议实现诊断卓越:一个多中心,前性质量和安全计划,以改善医疗住院患者的诊断过程
Jeffrey L Schnipper1,2, Katie E Raffel3,4, Angela Keniston3
1Hospital Medicine Unit, Division of General Internal Medicine and Primary Care, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Journal of hospital medicine
|October 27, 2023
概括
这项研究引入了一项新计划,用于追踪医院的诊断错误,并测试改善患者安全的干预措施. 目标是通过更好的监视和团队合作来减少诊断错误.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者安全研究的研究.
- 诊断错误分析的分析
背景情况:
- 对诊断错误的医院监控系统有限.
- 需要基于数据的干预措施来减少医疗错误.
- 缺乏用于诊断性能的基准测试.
研究的目的:
- 在常规医院护理中建立对诊断错误的监视.
- 在多个医疗保健场所对诊断性能进行基准测试.
- 评估干预措施对诊断错误率的影响.
主要方法:
- 多中心质量和安全计划 (ADEPT) 使用中断时间序列分析.
- 通过两人评判过程对被标记的患者事件进行诊断错误的监测.
- 同时进行临床医生调查,以了解诊断错误的贡献者和成功者.
主要成果:
- 该计划旨在报告和基准诊断错误率.
- 干预措施将使用安全I和安全II方法进行设计,试点和评估.
- 主要结果是减少每个患者的诊断错误.
结论:
- 该ADEPT计划为医院提供了一个框架,以系统地解决诊断错误.
- 基准测试和干预测试是提高诊断准确性的关键.
- 研究结果将在全国范围内传播,以提高患者安全.
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