在急诊室打开自我伤害和自杀企图登记实践的黑子:一项定性研究
Sarah Grube Jakobsen1,2, Pernille Tanggaard Andersen3, Jens Lauritsen4
1Department of Regional Health Research, University of Southern Denmark, Unit of Mental Health Services, Aabenraa, Denmark. sgrube@health.sdu.dk.
BMC primary care
|April 27, 2024
概括
医疗保健专业人员发现自我伤害和自杀企图登记不一致. 建议简化编码准则和改进电子健康记录系统,以提高数据质量,以便更好地预防自杀.
科学领域:
- 公共卫生 公共卫生
- 心理健康监测 心理健康监测
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 世界卫生组织强调加强全球对自我伤害和自杀企图的监测以预防.
- 目前缺乏有关自伤和自杀企图的高质量,系统地收集的国际数据.
- 本研究探讨了医疗保健专业人员对当前注册实践和质量改善策略的看法.
研究的目的:
- 调查医疗保健专业人员对自我伤害和自杀企图登记实践的看法.
- 识别自我伤害和自杀企图高质量登记的障碍.
- 收集关于改进注册流程的建议.
主要方法:
- 在丹麦的精神和体急诊室,对20名医疗保健专业人员 (医疗秘书,医生,护士,注册顾问) 进行了定性采访.
- 面试于2022年9月至2023年3月期间在丹麦所有地区进行.
- 采访数据的内容分析使用NVivo软件进行.
主要成果:
- 几乎所有接受采访的专业人士都认为,尽管有标准化努力,但注册实践是不一致和不可靠的.
- 常见的问题包括错误分类或由于时间限制而未使用的代码,不充分的培训和信息不足.
- 改进建议包括简化和提高编码准则的可见性,并在电子健康记录中实施技术解决方案.
结论:
- 该研究确定了改善自我伤害和自杀企图登记的关键领域.
- 制定了八项临床实践建议,以提高数据质量.
- 预计改进的注册将加强监控,并支持预防自杀的倡议.
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