在儿科急救护理中发生的医疗保健安全事件
Dolores Beteta Fernández1, Ana Miriam Seva Llor2, Laura Martínez Alarcón1
1Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
Anales de pediatria
|July 2, 2024
概括
12.3%的儿童在儿科急诊室 (PED) 发生了患者安全事件,其中大多数是可以预防的. 这些安全活动突出了改善医疗保健和药物治疗实践的领域.
科学领域:
- 儿科急救医学 儿科急救医学
- 患者安全 患者安全
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 患者安全事件是医疗保健机构的一个重大问题.
- 儿科急诊室 (PED) 在确保患者安全方面面临着独特的挑战.
- 了解事件的范围和原因对于开发有效干预至关重要.
研究的目的:
- 描述儿科急诊室 (PED) 安全事件的频率,来源,根本原因和后果.
- 在PED中确定最需要安全改进的特定领域.
主要方法:
- 在儿科急诊室进行了一项横截面,观察和描述性研究.
- 通过在护理期间的直接观察和后续的电话调查来收集数据.
- 方法是根据已有的患者安全研究 (ERIDA,ENEAS,EVADUR) 进行的.
主要成果:
- 总共分析了204个案例,安全事故发生率为12.3% (25个案例).
- 大多数事件 (82.1%) 到达患者并造成伤害,常见的根本原因包括医疗保健和药物治疗.
- 很大一部分 (78.6%) 的事件被认为是可以预防的,其中50%归因于医疗保健提供失败.
结论:
- 安全事件影响了儿童急诊室中显著比例的儿童.
- 这些事件中的大多数是可以预防的,这强调了需要有针对性的质量改进举措.
- 专注于医疗保健和药物治疗实践可以显著提高PED患者的患者安全.
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