影响患者安全的因素 接近失踪报告:系统性审查
Asma Alfayez1, Arwa Althumairi1, Mona Aljuwair1
1College of Public Health, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Journal of advanced nursing
|June 27, 2025
概括
医疗保健中近乎错误报告的障碍包括缺乏知识和缺乏安全文化. 通过教育和支持系统解决这些问题可以提高患者的安全性.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者安全研究 患者安全研究
- 医疗保健中的组织行为
背景情况:
- 差点失误是可能导致患者伤害的关键事件,但往往没有得到报道.
- 了解影响近乎失误报告的因素对于提高患者安全至关重要.
- 本综述解决了有关医疗保健中近乎失踪事件报告不足的文献上的差距.
研究的目的:
- 系统地审查影响医疗保健机构近乎失误报告的个人和组织因素.
- 识别接近失误报告的障碍和促进者,以告知改进策略.
- 通过更好地了解报告动态,为更安全的医疗保健环境做出贡献.
主要方法:
- 按照PRISMA 2020指南进行系统审查.
- 从2013年到2024年,对五个电子数据库 (PubMed,科学网,MEDLINE,Scopus,OpenAlex) 进行了全面的搜索.
- 使用健康信念模型和医院患者安全文化框架进行数据综合,并进行偏见风险评估.
主要成果:
- 审查中包括了20项研究.
- 个人障碍包括缺乏知识和对报告的负面看法.
- 组织因素,如安全文化,领导力支持,沟通和非惩罚性反应显著影响了报告.
结论:
- 促进支持性报告文化,实施教育倡议,简化报告机制是改善近乎失误报告的关键.
- 解决已识别的障碍可以带来更安全的医疗环境和改善患者的治疗结果.
- 诸如同行指导,建设性反,有针对性的培训和简化报告系统等策略可以提高报告的一致性.
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