在放射学中报告的患者安全事件 - 了解风险区域及其潜在因素之间的关系
A Wallin1, M Lundén1, M Ringdal1
1Sahlgrenska Academy, Institute of Health and Care Sciences, University of Gothenburg, Sweden.
Radiography (London, England : 1995)
|September 11, 2025
概括
分析了923个放射学风险事件,发现延迟和不准确的诊断是主要问题. 提高患者安全需要保持放射学能力和准确的报告.
科学领域:
- 医学成像和放射学医学成像和放射学
- 患者安全研究 患者安全研究
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 从错误中学习对于重新评估日常工作和预防医疗保健中的未来事件至关重要.
- 放射学,其复杂的程序,需要特定的风险区域测量有效的错误管理.
- 了解报告事件的潜在原因是提高患者安全协议的关键.
研究的目的:
- 分析放射科部门报告的事件.
- 为了确定与特定风险相关的这些事件的潜在原因.
- 为了验证放射学环境的风险评估框架.
主要方法:
- 利用来自三个放射诊所的患者安全报告系统 (PSRS) 的数据.
- 分析了923个报告的风险事件,使用基于风险评估框架的演方法.
- 采用定性内容分析来识别潜在原因和分类风险区域.
主要成果:
- 确定了六个主要的风险区域,检查/治疗延迟 (47%) 和不准确的诊断 (26%) 是最常见的.
- 不必要的辐射暴露占事件的7%,直接的身体伤害为9%,一般健康状况恶化为9%.
- 确定了22个潜在原因的子类别,并与这些风险区域联系在一起.
结论:
- 该研究验证了先前存在的放射学风险评估框架.
- 合作的复杂性,特别是与外部从业者和远程放射学合作的复杂性,有助于风险.
- 确保放射学能力,遵守标准和准确的文档对于改善患者安全和及时诊断至关重要.
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