现有的不良事件和医疗错误研究报告标准的问题
Christopher R Carpenter1, Richard T Griffey2, Anne W S Rutjes3,4
1Department of Emergency Medicine, Mayo Clinic, Rochester, New York, USA carpenter.christopher@mayo.edu.
现有的报告准则不充分涵盖对不良事件和医疗错误的研究. 为了提高研究质量和透明度,需要一个新的指导方针,即不良事件和医疗错误研究的标准元素 (SESAME).
科学领域:
- 卫生研究方法论 卫生研究方法论
- 医疗错误分析 医学错误分析
- 患者安全科学 患者安全科学
背景情况:
- 加强健康研究质量和透明度 (EQUATOR) 网络提供了600多条报告指南,以提高手稿的可复制性.
- 虽然一些指导方针涉及不良事件,但大量关于不良事件,近乎事故和医疗错误的研究缺乏专门的报告标准.
研究的目的:
- 评估现有的报告准则对研究的充分性,研究重点是不良事件和医疗错误.
- 评估是否需要为此类研究制定新的专门报告准则.
主要方法:
- 作为不良事件和医疗错误研究标准要素 (SESAME) 准则制定过程的一部分,进行了需求评估.
- 系统评估了12个现有的EQUATOR报告准则,以确定SESAME准则提出的8个关键特征的存在.
主要成果:
- 在经过评估的12条指导方针中,有5条不包含SESAME的8个关键特征.
- 其余的七条指导方针最多包含了八个基本的SESAME组件中的四个.
- 这表明目前关于不良事件和医疗错误的研究报告标准存在重大差距.
结论:
- 现有的报告准则没有充分解决关于不良事件和医疗错误的研究的关键方面.
- 有一个明确和确定的需要一个专门的报告指南,如SESAME,以建立标准化的报告,并促进在这个研究领域的交叉研究比较.
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