对比过敏反应的文档:社会生态范围审查
European journal of radiology
|November 20, 2025
概括
对比介质过敏反应的不准确记录是影响患者安全的系统性问题. 改进文档实践,包括药剂名称和反应细节,可以打破这种循环.
科学领域:
- 医疗信息学 医疗信息学
- 患者安全 患者安全
- 医疗保健系统分析 医疗保健系统分析
背景情况:
- 对比剂的过敏反应需要准确的文档,以确保未来的安全成像.
- 当前的文档实践往往不一致和不完整,对患者的护理构成风险.
- 系统性问题使这些关键事件的低于最佳记录持续存在.
研究的目的:
- 研究记录对比介质过敏反应所面临的挑战.
- 应用Bronfenbrenner的社会生态模型来理解影响文档的系统因素.
- 突出不准确的文档如何影响患者的治疗结果和医疗保健成本.
主要方法:
- 使用Arksey和O'Malley框架进行了范围审查.
- 从2000年到现在,在多个数据库 (MEDLINE,SCOPUS,ProQuest,CINAHL Plus) 进行了文献搜索.
- 使用NVIVO软件分析了七项研究,检查了跨社会生态系统层面的主题.
主要成果:
- 在所有医疗保健层面 (微,中,外,宏,慢) 发现了文档不一致性.
- 障碍包括患者与医生的沟通不良,系统碎片化,缺乏互操作性和术语不一致.
- 随着时间的推移,标准和政策的演变影响了当前的非最佳实践,导致患者的治疗结果受到损害,成本增加.
结论:
- 这次审查是第一个使用社会生态镜头来证明对比度过敏性文件挑战的系统性.
- 医疗专业人员可以通过准确记录对比剂,反应细节,严重程度,治疗和时间表来改善文档.
- 需要进一步的研究,以制定系统变革的策略和提高患者安全.
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