在COVID-19大流行期间改善患者安全的干预措施:系统审查
Albert W Wu1, Katelyn Trigg2,3, Allen Zhang2
1Health Policy and Management, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA awu@jhu.edu.
关于在COVID-19大流行期间减少患者伤害的干预措施的研究有限. 关键策略包括调整治疗方法和程序,提高药物安全性,预防与医疗相关的感染.
科学领域:
- 医疗保健质量和安全研究
- 传染病流行病学 传染病流行病学
- 患者安全干预措施患者安全干预措施
背景情况:
- 随着COVID-19大流行,医疗机构的患者安全面临新的风险和挑战.
- 对患者的伤害发生在多个领域,包括药物安全,诊断,手术,医疗相关感染,压力损伤和跌倒.
- 需要综合现有的关于旨在减轻这些危害的干预措施的文献.
研究的目的:
- 系统地审查和总结旨在减少COVID-19大流行期间患者伤害的医疗干预措施.
- 涵盖六个关键的患者安全领域:药物安全,诊断安全,手术安全,与医疗保健相关的感染,压力损伤和跌倒.
主要方法:
- 进行了混合方法系统审查.
- 在六个域进行了搜索,确定了13019个独特的文章.
- 经过全文评估,最终包含了61篇独特的文章.
主要成果:
- 对具体干预措施的严格评估很少.
- 治疗,分组和程序的调整促进了选择性手术和诊断测试.
- 这些变化还改善了药物安全实践和预防与医疗相关的感染.
结论:
- 在COVID-19大流行期间减少患者伤害的干预措施的研究有限.
- 干预措施主要集中在预防病房传染和确保获得紧急护理.
- 开发高可靠性的卫生系统对于减轻未来的流行病对患者安全的影响至关重要.
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