2017年爱尔兰国家临床声明审查的经验教训:一项回顾性观察性研究
Karen A Power1, Irene O'Byrne Maguire2, Noelle Byrne2
1Clinical Risk Unit, State Claims Agency, Dublin, Ireland karen.power@ntma.ie.
从爱尔兰卫生和社会保健中的临床声明中吸取教训对于患者安全至关重要. 诊断错误和沟通失败是常见的,特别是在手术和医学领域,导致了大量的成本,特别是在产妇护理.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者安全 患者安全
- 临床风险管理临床风险管理
背景情况:
- 医疗和社会护理方面的不良结果需要学习如何提高患者安全.
- 安全文化对于减少可预防的服务用户伤害至关重要.
研究的目的:
- 为了提供一个概述的临床索赔完成在一个日历年涉及公共资助的爱尔兰卫生和社会保健提供者.
- 确定有助于索赔的共同问题,并为风险减轻策略提供信息.
主要方法:
- 追溯观察性研究分析了713个来自爱尔兰国家事件管理系统 (2017) 的临床声明.
- 对202项涉及经济损失的索赔进行定性审查,重点关注产妇,手术,医学,社区健康和儿童医疗保健.
主要成果:
- 手术和医疗的索赔数量最多;产妇服务的成本最高,主要是由于婴儿受伤的灾难性原因.
- 在所有分析的临床领域中,诊断错误和沟通问题 (患者和专业之间) 普遍存在.
- 服务用户条件的复杂性对导致索赔的事件作出了重大贡献.
结论:
- 这份国家报告强调了导致临床主张的普遍问题.
- 针对已识别的问题可以减轻患者安全风险,并降低相关索赔成本.
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