通过安全消息应用程序进行异步会议,增加了在成熟创伤中心报告医疗错误的情况
Joy L Lee1,2, Scott Isenberg3, Georgann Adams3
1Department of Population and Quantitative Health Science, University of Massachusetts Chan Medical School, Worcester, Massachusetts, USA.
一个安全的短信应用程序显著增加了医疗错误报告,并改善了创伤中心的患者安全计划. 这种增强的报告与死亡率或ICU再入院率的增加没有相关性,这表明医疗保健环境更安全.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者安全 患者安全
- 医疗错误报告 医疗错误报告
背景情况:
- 医疗错误很常见,但往往没有得到报道.
- 需要有效的策略来增加医疗错误报告.
- 一个1级创伤中心试图通过加强错误跟踪来提高质量举措.
研究的目的:
- 描述一个安全的短信聊天室的开发和实施,用于报告绩效改进和患者安全 (PIPS) 问题.
- 评估聊天室对PIPS报告,患者结果和解决时间的影响.
主要方法:
- 一个安全的消息应用程序与聊天室功能集成.
- 描述性统计分析了PIPS报告趋势,死亡率,计划外的ICU再接收和时间到循环关闭.
- 报告的事件按主题分类.
主要成果:
- PIPS聊天室导致每月报告事件的数量大幅增加,短信成为主要报告方法.
- 没有观察到死亡率或非计划性ICU再入院的增加.
- 人们注意到PIPS事件的跟踪和及时解决的改进,并减少了时间到循环的关闭.
结论:
- 在PIPS报告中采用临床短信,可以更好地识别患者安全和医疗保健质量问题.
- 安全的消息应用程序可以有效地增加医疗错误报告和简化解决过程.
- 这种方法支持创伤护理机构的强有力的质量改善计划.
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