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与手术患者使用内置设备相关的不良事件
H Wain1, S Wall1, D L Clarke1,2
1Department of Surgery, University of KwaZulu-Natal, South Africa.
概括
在手术患者中,与内置设备 (ID) 相关的不良事件很常见,手术排水是最常见的原因. 改善ID护理和员工教育可以减少这些事件.
科学领域:
- 医疗器械安全 医疗器械安全
- 手术患者护理手术患者护理
- 与医疗保健相关的并发症
背景情况:
- 住院设备 (ID) 在医疗保健中至关重要,但可能导致患者发病率.
- 这项研究侧重于与手术环境中的IDs相关的不良事件.
- IDs用于治疗管理,输出管理和特定的治疗效益.
研究的目的:
- 调查与手术患者内置设备相关的不良事件的发生率和类型.
- 确定与这些不良事件相关的最常见的设备和错误类型.
- 为减轻ID相关发病率的策略提供见解.
主要方法:
- 从2012年12月到2021年8月,对电子健康记录的回顾性分析.
- 与IDs相关的不良事件按设备类型,事件类型和严重程度分类.
- 数据包括2402个报告的不良事件,影响了1592名手术患者.
主要成果:
- 手术排水器是受影响最多的设备 (20.44%),其次是中央静脉导管 (15.57%) 和静脉管 (13.83%).
- 常见的不良事件包括意外移除 (13.91%),未测量的输出 (12.82%) 和损伤 (12.62%).
- 虽然大多数事件都是轻微的,但1.1%导致器官功能障碍,0.3%导致患者死亡.
结论:
- 在手术患者中,与内置设备相关的发病率是一个重大问题.
- 标准化设备插入和护理协议至关重要.
- 加强员工教育和沟通可以有效地减少与ID相关的错误,并提高患者安全.
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