[级别间事件管理:初级保健区的经验]
A Ortega Carpio1, J Rioja Ulgar1, A Mestraitua Vázquez1
1Distrito Huelva-Costa Condado-Campiña, La Palma del Condado, Huelva, España.
Semergen
|February 1, 2024
概括
在初级保健和医院之间,介绍的3.36%发生了介绍间发生率 (ININ),其中大多数是经过验证的. 开发管理工具可以提高患者安全,减少初级保健负担.
科学领域:
- 医疗保健的沟通 医疗保健的沟通
- 患者安全 患者安全
- 主要护理-医院接口
背景情况:
- 间级发病率 (ININ) 表示初级保健 (PC) 和医院护理 (HC) 之间的通信错误.
- 这些事件来自于在正式沟通道中未解决的行政,制药或临床程序.
- 有效的管理对于防止初级保健医生过度负担至关重要.
研究的目的:
- 为了确定PC和HC之间ININ的流行率.
- 定义这些层次间事件的概况和特征.
主要方法:
- 进行了一项多中心,横截面描述性研究.
- 数据是从卫生区及其参考医院的专业人员收集的.
- 病例按类型,医院服务,卫生中心和发生原因进行分类.
主要成果:
- 在59,859个转诊中,共检测到2011年的ININ (3.36%),其中83.7%被验证.
- 行政错误占大多数 (59.5%),其次是药物错误 (24.2%) 和临床错误 (10.2%).
- 临床ININ的主要原因包括药物处方问题 (27.3%) 和不适当的转诊请求 (27.9%).
结论:
- 3.36%的跨级推涉及需要管理的验证事件.
- 开发特定的ININ管理工具对于确保安全的医疗保健提供至关重要.
- 解除官僚化的初级保健流程是必要的,以提高效率和医生工作量.
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