患者安全中的隐形伤害:癌症护理中可预防的心理伤害的框架和定义
Lara Dreismann1,2, Sofia Zambrano1, Yvonne Pfeiffer3,4
1Institute of Social and Preventive Medicine, University of Bern, Bern, Switzerland.
BMJ open quality
|August 26, 2025
概括
癌症患者的可预防心理伤害经常被忽视. 这项研究定义和分类了PPH,为改善医疗安全系统中的测量,分析和预防创造了一个框架.
科学领域:
- 改善医疗保健的质量
- 患者安全研究
- 精神瘤学
背景情况:
- 患者安全研究主要关注身体伤害,忽视可预防的心理伤害 (PPH).
- 由于癌症患者的病情和治疗方法,他们特别容易受到非身体不良事件的影响.
- 目前患者安全研究中缺乏PPH的标准化定义和分类.
研究的目的:
- 建立可预防的心理伤害 (PPH) 的共同定义.
- 在已确定的患者安全概念中制定PPH事件分类的框架.
- 提高PPH在医疗保健质量测量和政策中的可见性和整合性.
主要方法:
- 进行了关于PPH的综合文献审查.
- 与来自不同医疗背景的专家进行了采访.
- 组织了与患者代表的研讨会以收集见解.
- 通过跨学科研究小组和现有的患者安全概念,反复开发了定义和框架.
主要成果:
- 制定了PPH的广泛定义,包括医疗保健提供者和系统的行为和不作为.
- 创建了一个分类框架,详细说明受影响的个体,PPH类型,原因,促成因素,脆弱性和后果.
- 该框架涉及患者及其家属的严重程度,发生率,缓解因素和负面结果.
结论:
- 定义和分类PPH对于其测量,分析和预防至关重要.
- 将PPH纳入患者安全术语将促进其在研究和临床实践中的应用.
- 这项工作为在更广泛的患者安全议程中解决心理伤害提供了基础.
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