在一个大型学术卫生系统中,自愿事件报告差异的观察性研究
Ellen Pittman1, Miranda R Jones2, Katherine Hoops3
1Department of Pediatrics, Division of Pediatric Cardiology, University of Michigan Medical School, Ann Arbor, Michigan.
Journal of patient safety
|March 2, 2026
概括
患者安全事件报告显示差异. 儿童和女性患者在有害事件报告中代表性不足,而其他群体在自愿事件报告 (VER) 中代表性过高.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者安全研究的研究.
- 卫生公平性健康公平性
背景情况:
- 自愿事件报告 (VER) 对患者安全至关重要,但受到偏见和报告不足的影响.
- 现有研究表明,VER可能会在报告的安全事件中产生差异.
- 了解这些差异对于公平的医疗保健提供至关重要.
研究的目的:
- 在一个大型的学术卫生系统中调查自愿事件报告 (VER) 的差异.
- 确定与患者安全事件报告不足或过度相关的人口统计和社会经济因素.
主要方法:
- 通过VER系统报告的住院安全事件的回顾性审查 (2021年4月至2022年7月).
- 报告事件的人口统计数据与整体住院患者人口的比较.
- 分析包括了超出标准人口统计数据的新变量.
主要成果:
- 儿科患者的总体代表性过高,但在高危害事件中代表性不足.
- 在VER系统中,女性患者的代表性较低,特别是在低危害事件中.
- 某些群体,包括英语,非西班牙裔/拉丁裔,黑人/非洲裔美国患者,以及来自贫困地区的患者,在VER.中过度代表.
结论:
- 在学术卫生系统中发现了自愿事件报告的显著差异.
- 新的变量揭示了重要的报告偏见.
- 需要进一步的研究来理解和减轻这些差异,可能通过更客观的事件检测方法.
相关概念视频
Observational Studies
11.2K
Observational studies are a type of analytical study where researchers observe events without any interventions. In other words, the researcher does not influence the response variable or the experiment's outcome.
There are three types of observational studies – Prospective, retrospective, and cross-sectional.
Prospective Study
Prospective studies, also known as longitudinal or cohort studies, are carried out by collecting future data from groups sharing similar characteristics. One...
There are three types of observational studies – Prospective, retrospective, and cross-sectional.
Prospective Study
Prospective studies, also known as longitudinal or cohort studies, are carried out by collecting future data from groups sharing similar characteristics. One...
11.2K
Types of Reports II: Incident or Occurrence Report
1.3K
An Incident or Occurrence Report in a healthcare setting is a crucial document used to record any unexpected occurrence that may or may not have affected a patient, employee, or visitor. Such reports are critical to improving patient safety and include all details leading up to and including the event.
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
1.3K
Bias in Epidemiological Studies
1.5K
Biases can arise at various stages of research, from study design and data collection to analysis and interpretation. Recognizing and addressing these biases is essential to ensure the validity and reliability of epidemiological findings.Broadly speaking, biases in epidemiology fall into three main categories: selection bias, information bias, and confounding. A more detailed description of possible biases is:
1.5K
Data Collection by Observations
15.4K
Data collection refers to a systematic way of obtaining, observing, measuring, and analyzing accurate information. Observational studies are one of the most widely used methods of data collection. It involves collecting data by observing the behavior and physical characteristics of a sample without making any modifications to the sample.
An astronomer viewing the motion and brightness of stars in the sky and recording the data is an example of observational data collection. A botanist recording...
An astronomer viewing the motion and brightness of stars in the sky and recording the data is an example of observational data collection. A botanist recording...
15.4K
Surveys
17.1K
Often, psychologists develop surveys as a means of gathering data. Surveys are lists of questions to be answered by research participants, and can be delivered as paper-and-pencil questionnaires, administered electronically, or conducted verbally. Generally, the survey itself can be completed in a short time, and the ease of administering a survey makes it easy to collect data from a large number of people.
17.1K
Naturalistic Observations
17.9K
If you want to understand how behavior occurs, one of the best ways to gain information is to simply observe the behavior in its natural context. However, people might change their behavior in unexpected ways if they know they are being observed. How do researchers obtain accurate information when people tend to hide their natural behavior? As an example, imagine that your professor asks everyone in your class to raise their hand if they always wash their hands after using the restroom. Chances...
17.9K


