患者安全自愿事件报告中的差异:一个范围审查
Joint Commission journal on quality and patient safety
|December 6, 2023
概括
自愿事件报告系统低估了患者安全事件,可能会忽视差异. 本次审查强调了基于种族,性别和年龄的报告和结果中的不平等现象,呼吁进行系统的改变.
科学领域:
- 医疗保健的质量和安全.
- 健康差异研究 研究健康差异研究
- 医疗信息学医学信息学
背景情况:
- 自愿事件报告 (VER) 系统对于患者安全至关重要,但往往低估事件发生率,只捕获严重病例.
- 现有的VER数据可能不足以识别不同患者和提供者人口统计数据中的安全事件和报告差异.
- 了解这些差异对于改善医疗保健公平至关重要.
研究的目的:
- 进行现有文献的范围审查,以总结有关患者安全事件和基于年龄,性别和种族的报告差异的证据.
- 发现当前关于安全事件报告差异的研究中的差距.
- 为减轻偏见和促进公平护理的策略提供信息.
主要方法:
- 使用广泛的查询对患者安全事件报告和人口统计差异 (年龄,性别,种族,社会经济地位) 的研究进行了系统的文献搜索.
- 该审查遵循了系统审查和元分析 (PRISMA) 修改后的首选报告项目指南,涉及283项研究的标题/摘要选和56项研究的全文审查.
- 二十三项研究被单独审查,主题分组,并总结以提取关键发现.
主要成果:
- 文献表明,来自少数群体的患者可能会经历报告不足的事件和更严重的结果.
- 在一些研究中观察到,女性和男性医疗保健提供者的安全事件报告率有所不同.
- 自动检测方法始终比VER系统识别更多事件,突出显示报告不足.
- 目前的VER数据显示,患者和提供者在报告中因种族,语言,年龄和性别存在差异.
结论:
- 自愿事件报告系统显示了与患者和提供者人口统计学相关的显著差异,包括种族,年龄,性别和语言.
- 在VER系统中对事件和潜在偏差的低估需要进一步的研究和系统变化.
- 医疗机构需要指导来解决这些差异,减轻偏见,并确保公平的护理服务.
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