在住院临床医生中使用安全消息和错误的病人订单错误
Sunny S Lou1,2, Daphne Lew2, Linlin Xia3
1Department of Anesthesiology, Washington University School of Medicine in St Louis, St Louis, Missouri.
JAMA network open
|December 4, 2024
概括
临床医生之间更高的安全消息量与错误患者订购错误的增加有关. 这种关联特别在临床医生和高级实践医生 (APP) 中被注意到,这表明对患者安全的潜在影响.
科学领域:
- 医疗信息学 医疗信息学
- 患者安全 患者安全
- 医疗保健通讯 医疗保健通讯
背景情况:
- 临床医生之间的安全消息传递迅速增加.
- 这种沟通方法对临床工作和患者安全的影响尚不清楚.
研究的目的:
- 检查安全消息使用与错误患者订单错误之间的关系.
- 为了确定这种关联是否在临床医生角色之间存在差异.
主要方法:
- 一项队列研究分析了三个月的安全消息量和撤回和重新排序事件 (作为错误患者错误的代理).
- 数据包括来自14家医院的3239名临床医生.
- 多级逻辑回归调整了各种混因素.
主要成果:
- 更高的安全消息量与错误患者订单错误的可能性增加了10%.
- 这一关联对主治医生和高级实践医生 (APP) 具有重要意义.
- 错误的病人订购错误发生在0.4%的临床医生日.
结论:
- 每天安全消息的增加与住院病人的错误患者订单错误的可能性更高.
- 虽然这些发现表明存在潜在风险,但需要进一步研究才能确定因果关系.
- 其他因素,如护理协调,可能会影响这种关联.
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