持续监测副作用可以改善外科手术的结果
Luis Grande1, Marta Gimeno2, Jaime Jimeno3
1Servicio de Cirugía General, Hospital del Mar, Barcelona, Spain; Instituto Hospital del Mar de Investigaciones Médicas (IMIM), Barcelona, Spain; Departmento de Cirugía, Universitat Autònoma de Barcelona, Bellaterra (Barcelona), Spain.
Cirugia espanola
|February 11, 2024
概括
由医疗保健专业人员维护的外科注册改善了患者的治疗结果. 这种问责政策在20年内使不良事件,重新手术和死亡率大幅减少.
科学领域:
- 改善医疗保健 改善医疗保健
- 外科手术的结果
- 患者安全 患者安全
背景情况:
- 关于在改善医疗保健方面使用行政数据库与临床注册表之间存在争论.
- 本研究通过使用外科部门专业人员维护的注册表来检查问责政策的实施和结果.
研究的目的:
- 评估一个潜在的注册表在提高外科部门的表现方面的有效性.
- 评估问责政策对患者安全和临床结果的影响.
主要方法:
- 预期包括2003年至2022年期间入院的所有手术患者.
- 在入院,康复期护理和出院后30天内系统记录所有不良事件 (AE).
主要成果:
- 分析了超过6万份记录,记录了16802名患者 (27.9%) 的24846名AE (27.9%).
- 每次录取的注册AE逐渐增加,但注册AE的数量却下降 (35.0%至25.8%).
- 观察到的显著减少:重复手术 (57.5%),死亡率 (80%) 和严重的副作用 (2011-2022年间为56%至15.6%).
结论:
- 由医疗保健专业人员管理的潜在不良事件登记册,推动了手术结果的持续改善.
- 透明的报告和对注册数据的讨论促进了问责制的文化,并提高了患者的护理.
- 专业人士领导的注册表是改善手术环境中医疗保健质量的有效工具.
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