从一个资源有限的国家对儿科死亡判决的评估
Urooj Faisal1, Marium Noor1, Anwarul Haque1
1Division of Paediatric Critical Care Medicine, Department of Paediatrics, Sindh Institute of Child Health and Neonatology, Karachi, Pakistan.
在儿科患者中实施世卫组织死亡宣告标准揭示了重要的文档缺口. 初级儿科住院医生面临挑战,在记录临床试验和沟通笔记方面经常有遗漏.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 临床病理学 临床病理学
- 医学伦理学医学伦理学
背景情况:
- 儿科患者的死亡宣告 (DP) 提出了独特的挑战,特别是对于初级儿科住院医生来说.
- 准确和标准化的死亡宣告文件对于患者护理和法律遵守至关重要.
研究的目的:
- 评估遵守世界卫生组织 (WHO) 国际标准,以确定儿科患者的死亡.
- 发现儿科住院医生对死亡宣告的记录实践中的缺陷.
主要方法:
- 对165名儿科患者的死亡声明笔记的回顾性图表审查.
- 分析关于临床试验 (无呼吸,心跳,对刺激的反应,心电图发现) 和行政数据的文档完整性.
- 对通讯笔记文件的评估.
主要成果:
- 在记录死亡宣告的基本临床试验方面发现了严重的缺陷.
- 在74%,68.5%和70.3%的病例中,分别没有记录呼吸,心跳和对刺激的反应.
- 在31%的案件中缺乏行政数据,几乎没有通讯笔记 (几乎100%的失败).
结论:
- 对于儿科患者的死亡宣告的当前文档存在严重缺陷.
- 标准化的培训和遵守世卫组织的标准是必要的,以提高儿童重症监护病房的死亡宣告实践的质量.
- 解决这些文档缺口对于改善儿科终身护理和住院教育至关重要.
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