在一系列研究问卷中,患者报告的安全问题在COVID-19大流行期间的演变:多方法分析
Ij McFadzean1, M Bilal1, K Davies1
1PRIME Centre Wales, Division of Population Medicine, School of Medicine, Cardiff University, Cardiff, UK.
概括
在COVID-19大流行期间,患者安全问题增加了,访问问题和预约错误是最常见的. 医疗机构必须审查安全数据和员工的观点,以改善患者的护理.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 公共卫生 公共卫生
背景情况:
- COVID-19 流行病对全球医疗保健系统产生了重大影响,可能会增加与医疗保健相关的伤害.
- 在大流行期间,服务供应的激进变化可能影响了患者报告的安全问题.
研究的目的:
- 在英国首次封锁后的不同时间点对患者安全问题的性质的描述.
- 分析COVID-19大流行期间患者报告的安全事件的趋势.
主要方法:
- 通过英国COVID-19公共体验 (COPE) 研究调查,在三个时间点 (2021年3月/4月,2021年9月/11月,2022年3月/4月) 收集了患者报告的安全问题.
- 分析了自由文本答复,以确定符合国家卫生服务 (NHS) 患者安全事件定义的事件.
- 进行了描述性和专题分析,以确定事件类型,促成因素和患者的结果.
主要成果:
- 选了超过11000份问卷,其中10%的参与者报告了安全问题,其中53%符合患者安全事件的定义.
- 最常见的事件涉及到医疗保健专业人员的访问和管理医疗保健预约的错误.
- 安全问题的主题随着时间的推移而演变,反映了流行病背景和政策的变化,包括地理限制,家庭缓解以及对专业和患者行为的担忧.
结论:
- 医疗机构处于长期康复阶段,必须解决患者安全问题.
- 审查患者安全数据系统和工作人员对感染控制,社交距离和访问的看法至关重要.
- 从患者的经验中学习和完善安全事件的定义可以提高整体的患者安全.
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