估计住院患者不良事件的频率使用二步回顾图表审查:初步观察队列研究
Syed Sabih Ul Hassan1, Fozia Asif1, Farwa Ayub1
1Aga Khan University, Karachi, Sindh, Pakistan.
JMIR formative research
|December 29, 2025
概括
工具1B是从全球触发工具 (Global Trigger Tool) 改编的,有效地识别了低收入至中等收入国家的不良事件. 这项试点研究改进了针对资源有限的环境的患者安全研究方法.
科学领域:
- 医疗保健的质量和安全
- 全球健康 全球健康
- 医疗信息学 医疗信息学
背景情况:
- 低收入和中等收入国家面临高负担的不良医疗保健事件.
- 患者安全研究集中在高收入国家,在资源有限的环境中限制了适用性.
研究的目的:
- 确定在低收入至中等收入国家第三级医院检测住院不良事件的最佳方法.
- 根据试点研究经验,根据未来的大规模实施来调整所选择的方法.
主要方法:
- 采用了两步的回顾性图表审查.
- 两种查工具 (1A和1B) 的有效性进行了比较.
- 分析了2019年100名患者的病历,以确定每100次入院的不良事件率.
主要成果:
- 工具1A确定每100例入院中有1例不良事件.
- 工具1B发现每100例入院中有30例不良事件,其中60%被认为是可以预防的.
- 工具1B在检测不良事件方面表现出更高的灵敏度.
结论:
- 工具1B是从全球触发工具 (Global Trigger Tool) 改编的,它是一个适合和敏感的方法,用于识别低至中等收入国家的不良事件.
- 试点研究的结果为全面的患者安全研究提供了改进的信息.
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