药物错误报告中的差异:重点关注具有特定受保护特征的患者
Suki Bassi1, Oscar Jakubiel Smith2, Raliat Onatade2
1Pharmacy, Barts Health NHS Trust, London, UK sukhpreet.bassi@nhs.net.
BMJ open quality
|April 7, 2025
概括
药物错误报告在不同性别,种族和年龄组之间是不平等的. 这项研究强调了需要有系统的支持,以解决少数群体患者安全结果的差异.
科学领域:
- 卫生公平研究 卫生公平研究
- 患者安全 患者安全
- 医疗保健中的差异
背景情况:
- 健康差异不成比例地影响少数群体.
- 被保护的特征显著影响健康结果.
- 现有的研究强调了患者安全方面的不平等,但对导致这些差异的医疗保健系统流程的不平等程度较低.
研究的目的:
- 对具有受保护特征的患者进行药物错误事件报告的审查.
- 为了识别急性国家卫生服务 (NHS) 信托内部报告的不明原因变化.
- 为了确定患者的特征是否会影响药物错误报告率.
主要方法:
- 在五家NHS信托医院进行了横截面研究.
- 分析了2021年1月1日至2021年7月31日期间报告的药物错误事件.
- 基平方 (χ2) 测试,以评估受保护特征对错误报告率的影响.
主要成果:
- 药物错误报告在性别,种族和年龄组之间是不公平的.
- 这些受保护的特征与报告的药物使用事件数量存在负面关系.
- 根据患者人口统计数据,观察到报告率的显著变化.
结论:
- 系统支持对于减少对具有受保护特征的患者报告药物错误的差异至关重要.
- 基础设施的发展是必要的,以解决语言,文化和医疗保健中的理解等障碍.
- 解决这些系统性问题对于实现公平的患者安全结果至关重要.
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