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医疗保健专业人员是否绕过安全标准工作,我们应该担心吗? 一个范围审查审查
Debbie Clark1,2, Rebecca Lawton3,4, Ruth Baxter3,4
1Faculty of Medicine and Health, University of Leeds, Leeds, UK hcdjc@leeds.ac.uk.
医疗人员经常使用安全标准解决方案 (SSWAs) 来应对挑战,特别是药物安全问题. 这些SSWA有时可以提高护理质量和患者安全,尽管存在风险.
科学领域:
- 提供医疗保健服务.
- 患者安全 患者安全
- 风险管理 风险管理
背景情况:
- 医疗保健工作人员经常遇到挑战,需要规避既定的安全标准.
- 虽然解决方案可能具有负面的内涵,但有时可能有助于提供安全的患者护理.
研究的目的:
- 探索前线医疗保健中安全标准解决方案 (SSWAs) 的情况和感知影响.
- 综合现有关于SSWA如何使用及其影响的研究.
主要方法:
- 进行了全面的范围审查,搜索了主要的生物医学数据库 (MEDLINE,CINAHL,PsycINFO,Web of Science).
- 来自27篇入选文章的数据被绘制成图表,并由两位研究人员进行叙事综合.
主要成果:
- 报告报告了21个安全标准的规避措施,其中超过一半涉及药物安全.
- 注册护士,医生和药剂师经常参与SSWA,通常是由于组织原因.
- 人们认为SSWA支持以人为中心,及时,高效和有效的护理,对患者安全有混合但往往有益的影响.
结论:
- 安全标准的规避方法在日常医疗保健中很常见,特别是在药物治疗过程中.
- 这些解决方案通常用于平衡竞争风险,并且在某些情况下,可以提高安全护理的提供.
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