估计住院患者不良事件的频率,使用两步的回顾性图表审查:一个研究协议
Syed Sabih Ul Hassan1, Fozia Asif1, Ghazal Haque1
1Centre for Patient Safety, The Aga Khan University, Karachi, Sindh, Pakistan.
BMJ open
|December 6, 2023
概括
患者的安全至关重要,特别是在低收入国家,不良事件频繁发生. 这项研究使用了一种新的方法来测量医院的伤害,旨在改善患者安全政策.
科学领域:
- 医疗保健研究 医疗保健研究
- 患者安全 患者安全
- 全球卫生平等全球卫生平等
背景情况:
- 医院中的不良事件对患者造成重大伤害,不成比例地影响低收入和中等收入国家 (LMICs).
- 现有的患者安全研究严重倾向于高收入国家,其方法往往不适合LMIC环境.
- 对于当地相关的方法来评估和解决LMIC患者安全的急需.
研究的目的:
- 估计一个中低收入国家的住院患者的不良事件的频率和特征.
- 以针对LMIC医疗保健系统量身定制的数据为患者安全政策和倡议提供信息.
- 试验和验证本地开发的不良事件监测方法.
主要方法:
- 将采用一个多中心,两步的图表审查方法.
- 患者档案将使用适应的触发器进行选,然后对已识别的事件进行深入审查.
- 数据收集将通过训练有素的人员和标准化的操作定义来确保统一性.
主要成果:
- 主要结局是住院患者中不良事件的发生率.
- 进一步的分析将探索不良事件与患者人口统计学 (例如年龄,性别) 之间的关联.
- 将使用统计方法,包括独立性测试和回归技术.
结论:
- 这项研究协议得到了阿迦汗大学伦理审查委员会的批准.
- 结果将通过同行评审的出版物和会议演讲传播.
- 这项研究旨在为改善LMIC患者安全提供有价值的数据.
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