产科病房未报告的负面分娩经历的模式
Mette Kring Clausen1, Søren Bie Bogh1,2, Søren Fryd Birkeland1,3
1Open Patient Data Explorative Network, Odense University Hospital, Odense, Denmark.
Acta obstetricia et gynecologica Scandinavica
|July 25, 2025
概括
许多妇女经历了负面的分娩事件,但很少有人报告. 这项研究揭示了对产妇护理不满的严重低估,报告随着伤害严重程度的增加而增加.
科学领域:
- 医疗保健质量和患者安全研究
- 孕产妇的健康结果
- 医疗服务研究 医疗服务研究
背景情况:
- 尽管丹麦的分娩安全标准很高,但患者对产妇护理的不满仍然存在.
- 由于投诉过程中的障碍,大量的负面分娩经历可能不会被报告.
研究的目的:
- 为了识别未报告的负面出生经历的模式.
- 量化这些"黑暗数字"在产妇护理中的程度.
- 了解伤害严重程度与报告负面经历之间的关系.
主要方法:
- 一项调查对1022名妇女进行了调查,这些妇女在2022年在丹麦医院分娩.
- 经验被使用医疗投诉分析工具 (HCAT) 分类.
- 暗数字比率是通过将报告的负面体验与正式投诉进行比较来计算的.
主要成果:
- 32.9%的妇女报告了负面的分娩经历,但只有26人提出了正式投诉.
- 在HCAT类别中发现了787个未报告的问题,其中沟通和质量问题是最常见的.
- 与管理相关的问题 (机构流程,环境) 暗数字比率最高,与损害严重程度相反.
结论:
- 正式的投诉大大低估了负面出生经历的普遍性.
- 有一个报告门,因为报告负面经历的可能性随着伤害的严重程度而增加.
- 整合患者经验对于改善产妇护理质量和解决未报告的问题至关重要.
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