在中期和长期护理中心识别和评估不良事件的频率的工具和警告信号:叙述系统性审查
S Malgrat-Caballero1, A Kannukene2, C Orrego3
1Centre d'Atenció Intermèdia, Parc Sanitari Pere Virgili, Barcelona, Spain; REFiT-BCN (Research Group on Aging, Frailty and Care Transitions in Barcelona), VHIR (Vall d'Hebron Research Institute), Barcelona, Spain; Programa de Doctorat Interuniversitari de Cures Integrals i Serveis de Salut, Universitat de Vic-Universitat Central de Catalunya, Spain.
在中期和长期护理中心 (ILCC) 中,不良事件 (AE) 是常见的. 本综述综合了AE识别仪器和常见事件 (如药物错误和跌倒) 的证据.
科学领域:
- 老年学是一门学科.
- 医疗保健的质量 医疗保健的质量
- 患者安全 患者安全
背景情况:
- 关于中期和长期护理中心 (ILCC) 的不良事件 (AE) 的数据有限.
- 识别和描述AE对于这些环境中的患者安全至关重要.
- 现有的工具往往侧重于特定的AE,而不是全面的方法.
研究的目的:
- 系统地审查用于在ILCC中识别和描述AE的工具.
- 描述ILCC中最常见的副作用.
主要方法:
- 一个叙述性的系统审查,遵循PRISMA指南.
- 在PubMed中搜索了2000-2021年间发表的文章.
- 由两名研究人员进行的独立审查,使用Cochrane工具进行偏见评估.
主要成果:
- 大多数工具 (94%) 针对特定的AE或风险.
- 常见的副作用包括与药物相关的事件 (40%),跌倒 (11%),精神事件,营养不良和感染.
- 患病率数据显示,患病率高,患有,妄想,疼痛,营养不良和压力.
结论:
- 许多AE检测仪器存在于ILCC,主要以特定的重点.
- 副作用显著影响ILCC患者,护士敏感的结果,感染和不良药物事件是最常见的.
- 护理环境之间的过渡增加了AE风险.
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