"还有什么可能呢?" 对患者在整个诊断过程中提出的问题进行了广泛的审查
Mary A Hill, Tess Coppinger1, Kimia Sedig1
1Michael Garron Hospital, Toronto East Health Network, Toronto, Canada.
Journal of patient safety
|September 11, 2024
概括
患者提出问题可以提高诊断安全性. 这次审查绘制了推的患者问题,发现大多数关注的是诊断沟通和治疗,而不是早期阶段. 对于以患者为中心的指导,需要更多的研究.
科学领域:
- 患者安全 患者安全
- 卫生沟通健康沟通
- 诊断过程是一个诊断过程.
背景情况:
- 诊断错误构成了全球患者安全挑战.
- 患者和临床医生之间的沟通失败导致了超过75%的门诊护理诊断错误.
- 鼓励患者调查是减少这些错误的推策略.
研究的目的:
- 识别,总结和绘制患者在门诊诊断接触期间推的患者问题.
- 为了告知共同设计面向患者的问题提示列表.
- 加强患者参与诊断过程.
主要方法:
- 对同行评审和灰色文献进行范围审查.
- 在Medline,谷歌学者,组织网站和一般搜索引擎中进行的搜索.
- 数据抽象和确定患者问题的主题映射.
主要成果:
- 来自235个资源的5509个问题符合纳入标准;大多数 (77%) 来自灰色文学.
- 每个清单平均有23.44个问题.
- 问题主要集中在治疗 (2434),诊断沟通 (1160) 和结果 (766) 上.
结论:
- 现有的患者问卷主要针对后期的诊断阶段,而不是整个连续性.
- 需要进一步的研究来确定患者对诊断问题的优先考虑.
- 开发可用的指导是必要的,以通过提问提高患者的安全.
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