助产士人员和报告的有害事件之间的联系:对例行收集的数据进行横截面分析
Lesley Turner1, Jane Ball2, Paul Meredith2
1University of Southampton, Southampton, UK. lyt1g19@soton.ac.uk.
BMC health services research
|March 29, 2024
概括
足够的注册助产士人才对于产科病房的患者安全至关重要. 助产士的不足,但不是产科助理,与对母亲和婴儿有害事件的增加有关.
科学领域:
- 孕产妇健康 孕产妇健康
- 医疗保健的质量和安全
- 护理和助产工作人员研究护理和助产工作人员研究
背景情况:
- 孕产妇单位的最佳人员配置对于提供优质护理和减少伤害至关重要.
- 助产士短缺给实现足够的人员水平带来了挑战.
- 孕产妇工作人员组成的变化对护理质量的影响仍然被低估.
研究的目的:
- 调查每日助产士人员数量与报告影响母亲和婴儿的有害事件之间的联系.
- 为了确定产妇服务部门人员不足是否与不良事件发生率的增加有关.
- 探索注册助产士与产妇助理人员在患者安全上的差异影响.
主要方法:
- 从三个英语产科服务 (2015年4月 - 2020年2月) 的临床事件报告和住院人员数据的横截面分析.
- 准助产士和产妇助理的每日工作人员数量,以每病人每天工作时间 (HPPD) 为单位.
- 利用负双项分层模型来评估人员不足和有害事件之间的关系.
主要成果:
- 分析包括46个月的106,904次母婴入院.
- 注册助产士的工作人员不足与有害事件增加11%有关 (IRR 1.110).
- 产妇助理员工不足与有害事件增加没有显著的关联 (IRR 0.919).
结论:
- 适当的注册助产士人员是确保产妇护理安全的关键.
- 注册助产士的不足,但不是产妇助理,与报告伤害的更高发生率相关.
- 需要仔细审查产科工作人员的变化,以防止对母亲和婴儿造成可避免的伤害.
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