改善诊断:评估诊断经验被归类为问题,错误,或两者由患者和护理合作伙伴从一个全国代表性的调查调查
Kelly T Gleason1, Kathryn M McDonald1, Rachel Grob2
1School of Nursing, Johns Hopkins University, Baltimore, MD.
Medical care
|February 26, 2026
概括
三分之一的家庭报告了诊断问题或错误,严重影响了患者和护理伙伴. 解决这些患者体验是改善医疗保健诊断质量的关键.
科学领域:
- 医疗保健的质量 医疗保健的质量
- 患者安全 患者安全
- 诊断中的错误 诊断中的错误
背景情况:
- 了解患者对诊断的体验对于改善医疗保健至关重要.
- 确定如何有效地询问这些经验是关键的第一步.
研究的目的:
- 通过全国性,基于人口的调查,收集和分类诊断问题和错误.
- 分析患者及其护理伙伴报告的诊断错误的性质和影响.
主要方法:
- 一个全国代表的小组调查了受访者在过去四年内诊断问题或错误.
- 受访者将经历分类为错误,问题或组合,重点是最难忘的,如果多次发生.
主要成果:
- 33%的家庭报告了诊断问题或错误 (患者或护理伙伴).
- 经验被分为错误 (12.2%),问题 (10.4%) 或两者 (10.1%).
- 问题和错误显示有害后果和临床医生的反应率相似,患者和护理合作伙伴之间报告的影响有所不同.
结论:
- 诊断经历,无论是问题还是错误,都会对患者和护理伙伴产生重大情感,身体和财务后果.
- 承认患者诊断经验的全部范围对于提高学习卫生系统中的诊断质量至关重要.
相关概念视频
01:10Documentation of Nursing Diagnosis
1.9K
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...
1.9K
01:21Methods of Documentation III: PIE
2.1K
Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
2.1K
01:15Nursing Evaluation
4.6K
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
4.6K
01:26Formulating and Validating Nursing Diagnosis I
4.2K
A nursing diagnosis is written when the nurse recognizes a cluster of essential patient data indicating health problems treated with independent nursing interventions. The standardized terminologies of a nursing diagnosis help nurses identify and treat patients' problems. Every electronic health record that uses nursing diagnosis must employ standard diagnostic terminology. Developing an efficient, individualized care plan begins with accurate nursing diagnoses.
There are thirteen domains...
There are thirteen domains...
4.2K
01:13Patient-centered Care
3.2K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
3.2K
01:25Formulating and Validating Nursing Diagnosis II
4.2K
Nursing diagnoses represent a problem validated by major defining characteristics. There are four categories of nursing diagnoses: problem-focused, risk, health promotion or wellness, and syndrome. The anatomy of a nursing diagnosis includes three components: problem statement or diagnostic label, defining characteristics, and related factors.
Risk nursing diagnoses represent clinical judgments of an individual, family, or community more vulnerable to developing the health problem than others...
Risk nursing diagnoses represent clinical judgments of an individual, family, or community more vulnerable to developing the health problem than others...
4.2K