美国初级保健中关于可报告安全事件和风险的公众看法
Frances Hardin-Fanning1, Said Abusalem1, Paul Clark1
1University of Louisville School of Nursing, 555 S. Floyd Street, Louisville, KY, United States.
患者经常误解何时报告医疗保健安全事件,特别是在初级保健中. 提高公众对可报告风险的认识,对于预防医疗错误和提高患者安全至关重要.
科学领域:
- 患者安全 患者安全
- 改善医疗保健质量 改善医疗保健质量
- 提高公众健康意识
背景情况:
- 由于缺乏责任感和社会规范,患者对安全事件的报告不足.
- 关于公众对可报告安全事件/风险的认识的研究是有限的.
- 超过70%的医疗错误发生在初级保健机构,这突显了关于报告的公共教育的需要.
研究的目的:
- 探索公众对何时在初级保健机构报告安全事件/风险的看法.
- 发现公众对可报告的医疗保健事件的理解上的差距.
主要方法:
- 在线调查方法,使用系统级的初级和门诊设施安全事件场景.
- 参与者评估了场景,并回答了一个关于什么构成"报告"事件/风险的开放文本问题.
主要成果:
- 至少三分之一的参与者在70%的场景中回答不正确.
- 错误报告率各不相同,其中"无证人跌倒" (44.5%) 和"护理实践范围" (53.9%) 显著错误报告.
- 不适当报告的原因包括风险预测,法律问题,违规行为的范围和死亡感.
结论:
- 在了解报告的理由和正确识别可报告的医疗保健事件之间存在很大的差距.
- 需要提高公众对正确事件报告的理由及其在培养安全文化中的作用的认识.
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