通过运营和研究分类来评估家庭安全报告
Kate E Humphrey1,2,3, Patricia A Stoeck1,2, Brynn Elder1
1Department of Pediatrics, Division of General Pediatrics, Boston Children's Hospital.
家庭安全报告被运营和研究系统类似地分类,但研究分类学能够捕捉到更多的细节. 运营系统可以通过整合研究类别来改进,以更好地包括家庭对安全和质量的反.
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
- 医疗信息学 医疗信息学
背景情况:
- 医院可以通过整合家庭提供的数据来加强运营安全报告.
- 了解家庭安全报告的分类方式对于整合至关重要.
- 当前的操作系统可能无法捕捉到家庭报告的全部问题.
研究的目的:
- 在操作系统中评估家庭安全报告的分类.
- 将这些分类与较新的研究分类学进行比较.
- 评估将医院安全报告与家庭投入丰富的潜力.
主要方法:
- 未来收集住院儿童家庭的安全报告.
- 医生报告的分类使用操作和研究分类学 (修改的贝茨和同事,NCC-MERP).
- 使用kappa统计数据对10%的报告进行独立审查,评估评审者之间的可靠性.
主要成果:
- 分析了289个家庭报告的安全事件.
- 运营分类学将许多报告分类为药物/液体 (29.8%) 或无害 (34.6%),其中34.9%无法分类.
- 研究分类学发现了更多不同的问题,包括非有害错误 (38.4%) 和质量问题 (30.8%),其中63%被认为是可以预防的.
结论:
- 运营和研究分类学对许多家庭安全事件显示了类似的分类.
- 研究分类学更好地捕捉了家庭报告的质量和环境危害.
- 医院应该整合家庭报告的数据,运营系统可以采用研究类别来获得全面的安全和质量见解.
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