通过全球共识过程制定紧急部门安全检查清单
Lucrezia Rovati1,2,3, Daniele Privitera4, Alexander S Finch5
1Department of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy. l.rovati1@campus.unimib.it.
Internal and emergency medicine
|October 1, 2024
概括
为减少医疗错误,开发了一个新的紧急部门 (ED) 安全检查清单. 这份由全球专家创建的86项检查清单旨在在紧急护理环境中广泛的国际应用.
科学领域:
- 紧急医疗 紧急医疗
- 患者安全 患者安全
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 紧急诊所 (ED) 面临医疗错误的重大风险,影响患者的治疗结果.
- 检查清单的实施在高风险的临床环境和特定的ED护理领域已经被证明是有效的.
- 需要一个适用于全球的ED安全检查清单,以便在国际上使用.
研究的目的:
- 开发一个全面的ED安全检查清单,在各种国际ED环境中广泛适用.
- 建立高质量的ED护理的基本要素,并确保全球一致的实施.
主要方法:
- 一个经过修改的德尔菲共识过程,涉及一个多学科,多国小组,由来自34个国家的80名紧急医疗和患者安全专家组成.
- 系统的文献审查以确定最初的检查列表项目,随后进行两轮基于网络的调查和在线共识会议.
- 包括标准要求对检查列表项目达成80%的协议门,确保专家达成共识.
主要成果:
- 开发了一个最终的86项ED安全检查清单,包括一个一般的检查清单和五个特定领域的检查清单 (输送,侵入性手术,分类,治疗处方,治疗管理).
- 检查清单涉及诊断评估,患者重新评估,处置和ED团队,患者和家属之间的沟通.
- 该小组包括来自全球七个地区的低收入,中等收入和高收入国家的多元代表.
结论:
- 开发的ED安全检查清单为高质量的ED护理的基本要素提供了一个标准化的框架.
- 这种新的检查清单有可能显著减少医疗错误,并改善全球ED患者的患者安全.
- 它的广泛适用性和专家的共识支持其在各种国际紧急护理环境中的实施.
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