使用事件报告识别癌症护理中心理伤害的危险:寻找看不见的东西
Yvonne Pfeiffer1,2, Lara Dreismann3, Sofia C Zambrano3
1Dr. Yvonne Pfeiffer, Harmfree Healthcare, Wädenswil, Switzerland.
概括
医疗保健工作者在癌症护理事件中报告了可预防的心理伤害 (PPH) 的危险. 关键的PPH风险包括沟通不良和侵犯隐私,强调需要更好的组织实践来确保患者安全.
科学领域:
- 医疗保健安全 医疗保健安全
- 瘤学 护理 护理专业
- 患者体验 患者体验
背景情况:
- 患者安全包括防止身体和心理伤害.
- 在医疗保健机构中,心理伤害的研究不足.
- 了解心理伤害的危险性对于全面的患者护理至关重要.
研究的目的:
- 在癌症护理中识别可预防的心理伤害 (PPH) 的危险.
- 分析医疗保健工作者报告的关于心理伤害的事件.
主要方法:
- 从瑞士医院的癌症护理单位对623起事件报告 (2022-2023) 的定性分析.
- 开发一个编码方案来分类主要PPH和同时发生的身体伤害的危险.
- 对报告的反复探索,以确定特定的心理伤害风险.
主要成果:
- 2.5%的报告显示了初级PPH的危险;15.4%的PPH与身体伤害同时发生.
- 最常见的PPH危险是患者信息不足.
- 鉴定到的PPH危险包括沟通问题,隐私/自主权侵犯以及不良护理过渡.
结论:
- 事件数据库可能不足以代表PPH的危险.
- 侵犯隐私和沟通问题是癌症护理中的重大PPH风险.
- 改善组织实践,特别是在患者转移期间,可以减轻心理伤害风险.
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