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一个修改的触发工具,用于识别息治疗患者的患者伤害. 来自挪威的试点研究

Espen Klingenberg¹, Anne K Lindahl^2,3, Kathrine Brenne¹

¹Division of Surgery, Department of Palliative Medicine, Akershus University Hospital, Lørenskog.

Journal of patient safety

|December 19, 2025

概括

一个经过修改的全球触发工具 (GTT) 识别了在息治疗中患者的伤害和丧死亡. 需要进一步开发用于日常使用,以提高患者安全.

科学领域:

抚慰性护理医学抚慰性护理医学
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:

在住院息治疗中对患者的伤害还没有得到充分的研究.
现有的伤害检测工具并不适合息护理需求.
需要一种特殊的方法来识别这种人群的危害并提高安全性.

研究的目的:

评估修改的全球触发工具 (GTT) 对息治疗患者的性能和适用性.
评估适应GTT的有效性,以确定在息护理环境中的患者伤害.

主要方法:

两位审稿人对256名患者的医院病历进行了独立审查.
使用了修改后的全球触发器工具 (GTT),省略了无关触发器,并添加了息护理特定的触发器.
应用GTT方法来识别损害触发因素和病例.

主要成果:

确定了401个触发因素和109个患者伤害的病例.
最常见的触发因素包括再入院和"其他";危害类别是过度治疗/过度诊断和死亡障碍/症状控制不良.
该工具显示了0.27的危害检测的积极预测值,具有中等的评级者间可靠性 (κ=0.590).

结论:

修改后的触发工具可以在息治疗中识别患者的伤害和丧死亡.
为了实现该工具的常规临床实施,需要进一步细化.
该研究强调了定制工具的潜力,以提高息治疗中的患者安全.

关键词:

全球触发工具全球触发工具不良事件不良事件不良事件抚慰性护理是一种缓解性护理.伤害患者伤害患者患者安全患者安全

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