儿童医院严重安全事件分类的变化:一个比较的措施?
Amy Poppy1, Sonja I Ziniel2, Daniel Hyman3
1From the Children's Hospital Colorado, Division of Quality and Patient Safety, Aurora, Colorado.
Pediatric quality & safety
|April 8, 2024
概括
一个儿科医院的安全协作在严重安全事件 (SSE) 的分类上达成一致,但存在变化. 在使用SSE率的医院中比较患者安全结果时,建议谨慎.
科学领域:
- 儿科患者的安全性
- 改善医疗保健质量 改善医疗保健质量
- 医学错误分析 医学错误分析
背景情况:
- 医院缺乏标准化的方法来测量和比较严重安全事件 (SSE) 的发生率.
- 一个儿科医院的安全合作开发了一个共同的定义和测量系统的SSEs.
- 评估这种SSE测量系统的实用性和一致性至关重要.
研究的目的:
- 评估儿科医院在使用标准化系统对严重安全事件 (SSE) 的分类达成的共识.
- 评估SSE分类在不同医疗机构的一致性.
- 为了确定使用SSE率用于医院间比较的可靠性.
主要方法:
- 一项基于网络的调查分发给了132家网络医院.
- 该调查包括7个案例小组,供受访者将其归类为SSE.
- 受访者使用其组织的分类学对偏差和SSE分类.
主要成果:
- 82名受访者中有82%使用相同的SSE分类系统.
- 在5个可评估小组中的3个中,在偏差分类方面发现了实质性的协议.
- 在7个小区中,在4个小区中发现了SSE分类的实质性协议,在剩余的7个小区中达成相当或中等的协议.
结论:
- 在儿童医院之间对分类偏差和SSE存在共识和变化.
- 虽然SSE方法通常产生类似的审查结果,但需要谨慎.
- 使用SSE率来比较跨医院的患者安全结果需要仔细考虑,因为观察到的变异性.
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