突尼斯重症监护室专业人员报告的不良事件的回顾性分析
Mohamed Ayoub Tlili1, Wiem Aouicha2, Nikoloz Gambashidze3
1University of Sousse, Faculty of Medicine of Sousse, Department of Family and Community Medicine, LR12ES03, 4002, Sousse, Tunisia. medtlili@hotmail.fr.
在重症监护室 (ICU) 的不良事件很常见,超过60%是可以预防的. 与医疗保健相关的感染和压力是最常见的,影响了患者的安全和逗留时间.
科学领域:
- 医疗安全 医疗安全
- 医疗保健管理的管理
- 临床研究 临床研究
背景情况:
- 不良事件 (AE) 在医院环境中构成重大挑战,特别是在重症监护室 (ICU).
- 监测AE对于了解患者安全状况和进展至关重要.
- 本研究侧重于在建立新的AE报告系统后的20个月内报告的AE.
研究的目的:
- 分析ICU报告的不良事件的特征和后果.
- 确定最常见的AE类型及其促成因素.
- 评估AE报告系统对提高患者安全的有用性.
主要方法:
- 对自愿性不良事件报告系统的回顾性分析.
- 数据来自突尼斯萨赫卢尔大学医院的10个重症监护室.
- 分析期:2020年2月至2021年9月.
主要成果:
- 收到265份AE报告,61.9%被认为是可以预防的.
- 最常见的副作用:与医疗保健相关的感染 (30.2%) 和压力 (18.5%).
- 在51.3%的病例中,AE导致停留时间增加,死亡率增加9.4%.
结论:
- 该AE报告系统提供了有关ICU不良事件及其影响的有价值数据.
- 调查结果可以为制定有针对性的干预措施提供信息,以减少AE的发生.
- 副作用受到与提供者相关的 (64.2%) 和患者相关的 (53.6%) 因素的显著影响.
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