患者伤害事件和相关成本结果向患者安全组织报告
Susanne Miller1, David C Stockwell,
1From the Pascal Metrics PSO, Washington, District of Columbia.
一个自动电子触发系统 (ETS) 发现了比自愿报告更多的住院病人的伤害事件. 可预防的伤害事件导致了更长的住院时间和更高的成本.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者安全 患者安全
- 医疗信息学 医疗信息学
背景情况:
- 住院伤害事件对医疗保健系统构成重大挑战.
- 有效地检测患者的危害对于提高安全性和降低成本至关重要.
- 电子触发系统为自动损害检测提供了一个潜在的方法.
研究的目的:
- 用于描述自动电子触发系统 (ETS) 检测到的住院病人的伤害事件.
- 分析住院患者伤害事件的财务后果.
- 将ETS的有效性与自愿事件报告系统进行比较.
主要方法:
- 在37个急性护理机构进行的27个月的研究中,确定了住院患者的伤害事件.
- 经历伤害的患者与使用临床,财务和人口统计数据的无伤害患者进行了比较.
- 经劳动力调整的直接变量成本 (DVC) 和停留时间 (LOS) 为不同的队列计算.
主要成果:
- 排放交易系统发现的危害事件数量几乎是自愿报告系统的6倍.
- 副作用与逗留时间 (LOS) 的增加有关.
- 与未受伤害的患者相比,可预防的伤害事件导致显著更长的LOS (10.7 vs. 5.9天) 和更高的DVC (13,442美元 vs. 8024美元).
结论:
- 自动ETS在识别住院患者伤害事件方面比自愿报告更有效.
- 可预防的伤害显著增加了患者的住院时间和相关的直接变量成本.
- 这些发现强调了患者损害的财务影响和自动检测系统的价值.
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