在手术环境中住院护理的安全性:队列研究
Antoine Duclos1,2, Michelle L Frits3, Christine Iannaccone3
1Center for Surgery and Public Health, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Harvard T.H. Chan School of Public Health, Boston, MA 02120, USA antoineduclos@yahoo.fr.
概括
超过三分之一的手术患者经历了不良事件,其中许多是严重的和可以预防的. 提高所有医疗保健专业人员在术后护理中的患者安全至关重要.
科学领域:
- 患者安全 患者安全
- 在外科手术期间的医学.
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 术后护理期间的不良事件是一个重大问题.
- 了解它们的频率,严重程度和可预防性对于改善患者的治疗结果至关重要.
研究的目的:
- 估计接受手术的成年患者的不良事件的频率,严重程度和可预防性.
- 确定这些事件中参与最多的环境和医疗保健专业.
主要方法:
- 多中心回顾性队列研究,涉及11家美国医院的1009名成年患者.
- 通过触发方法和全面的电子健康记录审查来确定不良事件.
- 事件由医生进行判断,并根据严重程度和可预防性进行分类.
主要成果:
- 在38.0%的患者中发生了不良事件,其中15.9%被归类为重大.
- 近60%的确定的不良事件是可能可以预防的,超过20%的确实或可能可以预防.
- 外科手术,药物不良反应和与医疗相关的感染是最常见的不良事件.
结论:
- 住院手术患者的不良事件很常见,其中很大一部分是严重的和可以预防的.
- 这些发现凸显了在整个外科手术后期持续改进患者安全措施的关键需求.
- 所有卫生专业人员之间的合作对于提高术后护理的安全性至关重要.
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