患者安全事件风险和语言障碍:一个范围审查
Joint Commission journal on quality and patient safety
|March 15, 2025
概括
患有语言障碍 (LB) 的患者面临患者安全事件 (PSE) 的风险,特别是通信敏感事件. 需要进一步的研究来解决这些差异,并改善对这些弱势群体的干预措施.
科学领域:
- 医疗保健研究 医疗保健研究
- 患者安全 患者安全
- 健康差异 在健康上的差异
背景情况:
- 语言障碍 (LBs) 在医疗保健环境中对患者安全事件 (PSEs) 构成重大风险.
- 了解与LB相关的特定风险和PSE类型对于改善患者护理至关重要.
- 现有文献强调需要对LB及其对患者安全的影响进行更全面的研究.
研究的目的:
- 进行现有文献的范围审查,以确定患有语言障碍 (LB) 的患者的患者安全事件 (PSE) 的风险和类型.
- 综合目前关于LB和PSE之间关系的研究,重点关注已识别的风险和事件特征.
主要方法:
- 在2023年10月在PubMed,Web of Science和Embase进行了全面的文献搜索.
- 搜索策略侧重于语言障碍和患者安全的概念,包括英语研究,比较患有和没有LBs的患者的PSE风险或特征.
- 包括22项研究,主要来自美国,重点是住院环境,采用各种方法来定义LB和识别PSE.
主要成果:
- 研究人员发现,患有腰椎病的患者有较高的通信敏感安全事件的风险,例如与药物相关的不良事件和阴道分娩期间的事件.
- 其他类型的PSE的风险在LBs患者中是可比的或较低的.
- 使用超出临床医生/工作人员报告范围的方法的研究在识别与LB相关的差异方面更有效.
结论:
- 在具有语言障碍 (LB) 的人群中,研究患者安全事件 (PSE) 风险的研究非常稀缺,这表明存在重大知识差距.
- 当前研究的混合结果部分归因于定义LB和识别PSE的不同方法.
- 旨在减少LB患者的PSE的未来干预措施应优先解决沟通中断及其相关事件.
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