在COVID-19大流行期间,爱尔兰一般医院的患者安全事件:探索性实践水平分析
Nathaly Garzón-Orjuela1,2, Claire Collins3,4, Sara Willems5
1School of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, Ireland.
在COVID-19期间,爱尔兰一般实践中的患者安全事件 (PSI) 是常见的,通常涉及由于患者或实践因素而延迟的护理. 很少有一致的因素影响了这些事件,这表明自主决策可能支持了患者的安全.
科学领域:
- 医疗保健管理的管理
- 患者安全研究 患者安全研究
- 公共卫生 公共卫生
背景情况:
- 患者安全侧重于预防医疗保健提供中的伤害和错误.
- 在全球范围内,COVID-19大流行大大改变了全科医院的运作.
- 这项研究调查了爱尔兰在疫情开始时的一般实践中发生的患者安全事件 (PSI).
研究的目的:
- 探索与爱尔兰一般实践中报告的患者安全事件 (PSI) 相关的因素.
- 分析COVID-19流行病相关变化对护理提供和PSI的影响.
主要方法:
- 一个横截面研究 (PRICOV-19) 涉及172个爱尔兰的一般实践.
- 收集关于护理重组,实施的变化和潜在的PSI (延迟护理:实践,患者或分拣因素) 的数据.
- 探索了PSI与人口,组织,分类,协作和员工福利因素之间的关联.
主要成果:
- 71%的实践报告至少有一个潜在的PSI.
- 由于患者因素导致的延迟护理是最常见的 (65%),其次是实践 (33%) 和分拣 (30%).
- 延迟的护理与重复的处方过程变化 (患者因素) 和实践位置/接待变化 (实践因素) 相关.
结论:
- 由于COVID-19大流行,爱尔兰全科医院的护理服务发生了重大变化.
- 有限因素始终与PSI相关,表明对大流行挑战的反应各不相同.
- 在一般实践中,自主决策可能对患者安全产生了积极的影响.
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