在卡塔尔的直升机紧急医疗服务中,基于触发器工具的不良事件描述
Calvin Heuer1, Ian Howard2, Willem Stassen3
1Division of Emergency Medicine, University of Cape Town, Cape Town, South Africa.
BMJ open quality
|November 14, 2023
概括
直升机紧急医疗服务 (HEMS) 经历了27.7%的不良事件率,机组人员的行动是主要原因. 这项研究强调了需要改进HEMS安全和文档实践的需要.
科学领域:
- 紧急医疗 紧急医疗
- 患者安全 患者安全
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 在直升机紧急医疗服务 (HEMS) 中,不良事件 (AEs) 报告不足,对患者安全构成风险.
- 触发器工具 (TT) 提供了一种用于在医疗机构中检测AE的新方法.
研究的目的:
- 追溯确定卡塔尔的HEMS中AE及其近位原因 (PC) 的频率.
- 评估匹兹堡不良事件工具在HEMS中用于AE检测的实用性.
主要方法:
- 使用匹兹堡不良事件工具在21个月内对804个HEMS记录进行了回顾性分析.
- 计算每100名患者遭遇的触发因素,副作用和伤害率.
- 多变量分析以确定患者因素与危害之间的关联.
主要成果:
- 确定了883个触发因素 (每次遇到1.1个),其中81.2%涉及文档错误.
- 观察到AE率为27.7%,伤害率为3.5%.
- HEMS机组人员的行为是主要的近距离原因 (81.6%);干预和药物触发最常导致伤害 (57.1%).
结论:
- 触发工具方法在HEMS中有效检测AE.
- 高的AE率需要进一步研究医院前临床决策和遵守指南.
- 未来的努力应集中在质量改进举措上,以减少HEMS中的AE和文档错误.
相关概念视频
Cardiopulmonary Resuscitation II: ACLS Airway Management
15
Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
15
Introduction Cardiac Emergencies
20
Cardiac emergencies are critical situations involving the heart that require immediate medical intervention to prevent severe complications or death. These emergencies often arise from underlying heart conditions that impair the heart's ability to function correctly.Types of Cardiac EmergenciesThe most common types of cardiac emergencies include Acute Coronary Syndrome (ACS), myocardial infarction (MI), cardiac arrest, and heart failure.Acute Coronary Syndrome (ACS)Acute Coronary Syndrome (ACS)...
20
Pneumothorax-I
222
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
222
Types of Reports II: Incident or Occurrence Report
834
An Incident or Occurrence Report in a healthcare setting is a crucial document used to record any unexpected occurrence that may or may not have affected a patient, employee, or visitor. Such reports are critical to improving patient safety and include all details leading up to and including the event.
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
834
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
17
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
17
Acute Respiratory Failure-IV
160
Respiratory failure can manifest suddenly or gradually, characterized by a rapid decline in PaO2 and a rapid rise in PaCO2. This situation indicates a severe respiratory problem that may quickly become a life-threatening emergency. One of the early signs of hypoxemic Acute Respiratory Failure (ARF) is a change in mental status due to the brain's sensitivity to oxygen levels and changes in acid-base balance. Symptoms such as restlessness, confusion, and agitation suggest inadequate oxygen...
160


