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医院承诺解决诊断错误:对95家美国医院的评估
Alexandra Campione Russo1, Jean-Luc Tilly1, Leah Kaufman1
1The Leapfrog Group, Washington, District of Columbia, USA.
美国医院在采用减少诊断错误的做法方面存在重大差距. 虽然一些患者安全措施是常见的,但领导力承诺和诊断团队形成等关键领域滞后,阻碍了诊断卓越.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者安全研究的研究.
- 医疗服务研究 医疗服务研究
背景情况:
- 诊断错误是患者损害的主要原因之一.
- 跨越小组确定了29种基于证据的做法,以减少这些错误.
研究的目的:
- 评估美国医院采用Leapfrog的诊断错误减少实践.
- 发现医院诊断过程中的落实缺陷.
主要方法:
- 在参与"飞跃青"的医院中进行了一项全国试点调查.
- 实践被分为两个调查:组织文化/结构和诊断过程.
- 来自23个州的95家医院做出了回应.
主要成果:
- 医院平均实施了56%的组织实践和62%的诊断过程实践.
- 实施率差异很大,一些医院只采用了少数实践.
- 普遍采用的做法包括翻译访问和错误报告系统. 最少采用的是多学科的诊断安全团队和首席执行官的承诺.
结论:
- 美国医院的诊断卓越实践存在重大实施差距.
- 结果可以指导改善诊断安全和减少患者伤害的举措.
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