通过沟通和解决方案确定患者意外死亡的风险因素
Peter Lodato1, Neal D Goldstein2,3, Alexandra M Mapp4
1Department of Patient Safety and Accreditation, ChristianaCare, Newark, DE, United States.
Frontiers in health services
|December 8, 2025
概括
沟通和解决方案 (CRP) 有助于管理意外的医疗保健危害. 这项研究发现,黑人患者,那些有更多的并发症和较低的相对预期死亡率的人更有可能经历意外死亡.
科学领域:
- 医疗保健的质量和安全.
- 患者结局研究研究结果.
- 卫生公平性健康公平性
背景情况:
- 意想不到的患者伤害是医疗保健中的一个重要问题.
- 通信和解决方案 (CRP) 为管理不良事件提供了一个结构化的方法.
- 了解意外死亡的人口因素对于有针对性的干预至关重要.
研究的目的:
- 在沟通和解决方案中确定人口因素是否影响患者意外死亡.
- 为了确定与意外死亡相关的特定患者特征.
主要方法:
- 一个嵌套的病例控制研究是在10年内进行的.
- 与236名意外死亡的患者和2360名预期死亡的对照患者进行了比较.
- 分析了人口统计因素,并发症负担和相对预期死亡率.
主要成果:
- 经历意外死亡的患者更有可能是黑人 (AOR 2.18).
- 较高的并发症负担与意外死亡有关 (AOR为1.07个并发症).
- 较低的相对预期死亡率显著增加了意外死亡的几率 (AOR 5.39).
结论:
- 人口统计因素,特别是种族和并发症,在患者意外死亡率方面发挥着作用.
- 对这些风险因素的认识可以为患者的评估和治疗策略提供信息.
- CRPs可以在识别高风险患者的意外结果方面发挥重要作用.
相关概念视频
Barriers to Effective Communication II
4.5K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
4.5K
Role of Communication in the Nursing Process II: Planning and Implementation
2.5K
Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time...
2.5K
Ethical Dilemmas II
2.2K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
2.2K
Ethical Issues
2.0K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
2.0K
Rheumatic Heart Disease IV: Nursing Management
251
AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
251
Documentation of Nursing Diagnosis
1.6K
The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
1.6K


