重新关注患者安全问题
1professor emeritus at the Institute of Health Policy, Management and Evaluation in the Dalla Lana School of Public Health, University of Toronto in Toronto, ON.
Healthcare quarterly (Toronto, Ont.)
|June 17, 2024
概括
患者安全的努力并没有阻止医院的伤害. 最近的研究表明,显著的不良事件持续存在,其中许多是可以预防的,需要广泛的恢复,这表明患者安全倡议的进展陷入停滞.
科学领域:
- 医疗保健的质量 医疗保健的质量
- 患者安全研究 患者安全研究
- 医疗错误分析 医学错误分析
背景情况:
- 高质量的患者护理依赖于强有力的安全措施.
- 尽管几十年来采取了安全措施,但在医院中伤害患者仍然是一个重大问题.
- 许多医疗保健领导人认为,患者安全方面的进展已经停滞不前.
研究的目的:
- 评估目前医院环境中不良事件的流行情况.
- 确定可预防的不良事件的比例.
- 评估与不良事件相关的严重程度和恢复时间.
主要方法:
- 2018年马萨诸塞州医院患者随机样本的分析.
- 使用类似于早期关于不良事件的里程碑性研究的方法.
- 审查了针对可预防性和所需干预措施的确定的不良事件.
主要成果:
- 在采样的医院患者中,至少在23.6%的患者中发现了至少一个不良事件.
- 在978个确定的事件中,22.7%被认为是可以预防的.
- 三分之一的不良事件需要实质性干预或长时间的恢复.
结论:
- 尽管在医院开展了广泛的安全工作,但患者伤害仍然是一个关键问题.
- 很大一部分在医院获得的不良事件是可以预防的.
- 这些发现强调了需要更新的策略,以提高患者的安全性和减少伤害.
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