探索近距离失误报告的准确性:一种混合方法研究
Asma Alfayez1, Duaa Aljabri1, Arwa Althumairi1
1College of Public Health, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Journal of patient safety
|January 23, 2026
概括
医疗保健专业人员准确地报告了近乎失误的药物安全性,但错误地分类了其他事件. 标准化报告框架对于提高患者安全和数据准确性至关重要.
科学领域:
- 患者安全 患者安全
- 改善医疗保健质量 改善医疗保健质量
- 风险管理 风险管理
背景情况:
- 差点失误事件是预防患者不良后果的关键指标.
- 准确的安全事件分类对于有效的质量改进举措至关重要.
研究的目的:
- 评估医疗保健专业人员对近乎失误事件的描述.
- 用世界卫生组织 (WHO) 患者安全分类框架评估报告的近距离失误的有效性.
主要方法:
- 从第三级医院 (2021-2024) 追溯分析了2805份近乎失误报告.
- 混合方法方法利用描述性统计和基于世卫组织标准的定性分析.
- 结构化的决策过程,将事件分类为近距离事故,不良事件,无害事件或可报告情况.
主要成果:
- 84%的报告被验证为真正的近乎失误,主要是在药物安全方面.
- 在患者护理和工作场所安全报告中发生了重大错误分类.
- 许多涉及患者伤害或没有伤害到患者的事件被错误地标记为近乎失误.
结论:
- 药房部门表现出强大的近乎失误检测和报告能力,突出了药剂师在患者安全方面的作用.
- 理解安全事件分类的差距导致报告不准确,并阻碍了解决方案.
- 需要一个全面的,标准化的近距离事故报告框架,有明确的定义和反机制,以提高一致性和患者安全.
相关概念视频
Uncertainty in Measurement: Accuracy and Precision
100.5K
Scientists typically make repeated measurements of a quantity to ensure the quality of their findings and to evaluate both the precision and the accuracy of their results. Measurements are said to be precise if they yield very similar results when repeated in the same manner. A measurement is considered accurate if it yields a result that is very close to the true or the accepted value. Precise values agree with each other; accurate values agree with a true value.
100.5K
Improving Translational Accuracy
14.1K
Base complementarity between the three base pairs of mRNA codon and the tRNA anticodon is not a failsafe mechanism. Inaccuracies can range from a single mismatch to no correct base pairing at all. The free energy difference between the correct and nearly correct base pairs can be as small as 3 kcal/ mol. With complementarity being the only proofreading step, the estimated error frequency would be one wrong amino acid in every 100 amino acids incorporated. However, error frequencies observed in...
14.1K
Improving Translational Accuracy
3.6K
3.6K
Accuracy and Precision
14.6K
Scientists typically make repeated measurements of a quantity to ensure the quality of their findings and to evaluate both the precision and the accuracy of their results. Measurements are said to be precise if they yield very similar results when repeated in the same manner. A measurement is considered accurate if it yields a result that is very close to the true or the accepted value. Precise values agree with each other; accurate values agree with a true value. Highly accurate...
14.6K
Accuracy, limits, and approximation
1.1K
Accuracy, limits, and approximations are common in many fields, especially in engineering calculations. These concepts are imperative for ensuring that a given value is as close as possible to its true value.
Accuracy is defined as the closeness of the measured value to the true or actual value. In engineering mechanics, repeated measurements are taken during theoretical or experimental analyses to ensure that the result is precise and accurate.
The accuracy of any solution is based on the...
Accuracy is defined as the closeness of the measured value to the true or actual value. In engineering mechanics, repeated measurements are taken during theoretical or experimental analyses to ensure that the result is precise and accurate.
The accuracy of any solution is based on the...
1.1K
Data Reporting and Recording
5.4K
Reporting and recording are crucial in data documentation. The timely, thorough, and accurate documentation of facts is essential when recording patient data. Failure to record findings during an assessment or interpretation of a problem will result in loss of information and make the patient document unreliable. The reader is left with general impressions if the information is not specific. A recording is documenting data of the individual's health information in a traceable, secure, and...
5.4K


