麻醉专用软件模块,用于自愿报告不良事件
Karolina Brook, Su Yeon Song1, Julianna Richards1
1Boston University, Boston, Massachusetts.
Journal of patient safety
|December 20, 2024
概括
创建一个专门的麻醉软件模块显著提高了事件报告率. 该系统促进了对不良事件的更好分析,显示出在其他医学领域复制的希望.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者安全 患者安全
背景情况:
- 医院工作人员使用事件报告软件 (RL) 报告不良事件,与医疗记录分开.
- 麻醉科经历了较低的RL报告数量,事件难以在系统中定位.
- 一个假设提出,集中麻醉事件将增加报告和分析深度.
研究的目的:
- 评估专用麻醉RL软件模块对不良事件报告率的影响.
- 评估同步的质量改进举措对报告的影响.
- 为了确定一个集中式系统是否可以增强对备案不良事件的分析.
主要方法:
- 开发并实施了一种针对麻醉的RL软件模块.
- 包括所有麻醉相关的不良事件在一个单一的,可访问的位置.
- 监控报告变化与部门内部质量保证表格的实施.
主要成果:
- 麻醉RL模块每月RL报告增加了3.2倍 (P < 0.001).
- 除了"受控物质差异",发现增加了11.1倍 (P < 0.001).
- 质量保证表显示影响最小;常见事件包括"受控物质差异"",其他"和"设备问题".
结论:
- 一个专业特定的RL软件模块有效地提高了不良事件报告和分析能力.
- 对报告的积极影响独立于其他质量改进举措.
- 该模型有可能在其他医疗专业中复制,以加强患者安全报告.
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