循环的质量改进项目同意表格的患者接受关节骨折的患者
Aniket Bharadwaj1, Richard Morter1, Ardeshir Bonshahi1
1Trauma and Orthopaedics, The Royal Oldham Hospital, Northern Care Alliance NHS Foundation Trust, Oldham, United Kingdom.
Journal of clinical orthopaedics and trauma
|January 6, 2025
概括
在同意表格上,关于部骨折的手术风险的文件最初很差,只包含了56.6%的风险. 干预措施将这一比例提高到87.9%,强调需要在骨科手术知情同意过程中保持持续警.
科学领域:
- 整形外科手术 整形外科手术
- 患者安全 患者安全
- 经过知情同意的同意.
背景情况:
- 腿部部 (NOF) 骨折很常见,导致显著的骨科工作量.
- NOF骨折的手术修复带有各种手术内和外科手术后的风险.
- 准确和详细的知情同意对于患者的决策至关重要.
研究的目的:
- 审计NOF断裂同意表格上的风险文件的完整性.
- 将当前的文档与英国骨科协会 (BOA) 的标准进行比较.
- 评估干预措施对改善同意表格准确性的影响.
主要方法:
- 在皇家奥尔德姆医院对NOF骨折同意表进行多循环审计.
- 记录的风险与BOA标准化风险清单进行比较.
- 干预措施的实施:使用贴纸和团队教育.
主要成果:
- 最初,只有56.6%的相关风险被记录在同意表格上.
- 包括死亡率在内的重大风险经常被遗漏.
- 干预后,风险文件的合规性增加到87.9%.
结论:
- 在记录NOF骨折的手术风险方面存在重大缺陷.
- 基本干预可以大大改善知情同意文件.
- 建议进行进一步的审计,以确保患者同意准确性的持续改善.
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