沟通类型和质量对患者安全事件的影响:系统性审查
Leila Keshtkar1, Amber Bennett-Weston1, Ahmad S Khan1
1Stoneygate Centre for Empathic Healthcare, Leicester Medical School, George Davies Centre, University of Leicester, Leicester, United Kingdom (L.K., A.B.-W., A.S.K., S.M., M.J., S.G., J.H.).
Annals of internal medicine
|April 14, 2025
概括
医疗保健中的不良沟通显著增加了患者安全风险. 这份综合报告强调了其对安全事故的重大贡献,并强调了需要更好的干预措施的必要性.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者安全科学 患者安全科学
- 医学沟通研究 医学沟通研究
背景情况:
- 缺乏沟通是医疗保健中患者安全事件的一个已知的风险因素.
- 关于通信故障对患者安全影响的现有数据需要更新综合.
研究的目的:
- 综合现有关于沟通不良如何影响患者安全的研究.
- 研究医疗保健从业者与患者之间的沟通问题,以及从业者自身之间的沟通问题.
主要方法:
- 对2013年1月至2024年2月期间发表的研究进行系统文献综述.
- 包括的研究量化了缺乏沟通对不同语言患者安全的影响.
- 数据提取和偏差风险评估由两个独立的审稿人;由于异质性的叙事综合.
主要成果:
- 分析了46项涉及67826名患者的研究.
- 缺乏沟通是13.2%的安全事故的唯一原因,并与其他因素相结合,导致24.0%.
- 在研究环境,大陆,人员和事件类型中存在显著的异质性,证据的强度低至非常低.
结论:
- 糟糕的沟通是导致患者安全事故的一个重要因素.
- 低质量的研究和高异质性限制了当前的理解.
- 进一步的研究对于开发有效的干预措施和阐明因果途径至关重要.
相关概念视频
Types of Reports II: Incident or Occurrence Report
781
An Incident or Occurrence Report in a healthcare setting is a crucial document used to record any unexpected occurrence that may or may not have affected a patient, employee, or visitor. Such reports are critical to improving patient safety and include all details leading up to and including the event.
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
781
Types of Reports III: Telephone and Verbal Reports
710
Telephone and Verbal Reports in healthcare settings are two communication methods for conveying therapeutic instructions from healthcare providers to nurses or other healthcare staff.
Here's an overview of each type:
Telephone Orders
Here's an overview of each type:
Telephone Orders
710
Barriers to Effective Communication II
3.6K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.6K
Role of Communication in the Nursing Process III: Evaluation and Documentation
1.2K
A successful patient outcome depends mainly on the evaluation stage of the nursing process. Evaluation determines effectiveness by reviewing what was done previously after the completion of nursing interventions. Every time a healthcare professional steps in or administers treatment, they must reassess or evaluate the action to ensure the intended result. During the evaluation phase, there are three probable patient outcomes:
1.2K
SBAR I: Understanding the Concept
4.3K
Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
Standardized methods of communication have been developed to ensure that information is...
Standardized methods of communication have been developed to ensure that information is...
4.3K
SBAR II: Application of SBAR
4.3K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
4.3K


