相关实验视频
在医疗保健中研究不良事件的替代策略
L B Andrews1, C Stocking, T Krizek
1Chicago-Kent College of Law and American Bar Foundation, IL 60661-3691, USA.
Lancet (London, England)
|February 1, 1997
概括
医院的不良事件往往被低估. 这项研究发现,互动和管理错误,以及个人错误,对患者的伤害有很大影响,突出了全面预防策略的必要性.
科学领域:
- 医疗保健的质量和安全
- 医疗错误分析 医学错误分析
- 患者研究成果研究结果
背景情况:
- 传统的不良事件数据依赖于医疗记录,可能低于真实发病率.
- 医院不良事件是影响患者安全和医疗保健成本的一个重大问题.
- 了解不良事件的范围对于制定有效的预防策略至关重要.
研究的目的:
- 提高对医院护理中不良事件的发生率和范围的了解.
- 确定不良事件的原因和促成因素.
- 探索临床会议讨论作为不良事件分析的数据来源的实用性.
主要方法:
- 采用了前性观察性研究设计.
- 民族学家在三个医院单位的例行临床会议上对患者护理讨论进行了定性观察.
- 开发了一个分类方案来编码讨论的不良事件及其原因.
主要成果:
- 在1047名患者中,有17.7%的患者至少经历过一次严重不良事件.
- 随着住院时间的增加,不良事件的增加 (约. 每天的6%).
- 原因包括个人因素 (37.8%),互动因素 (15.6%) 和行政决定 (9.8%).
结论:
- 不良事件源于各种各样的原因,包括交互和管理错误.
- 医疗保健提供者在临床会议期间的讨论为积极预防错误提供了有价值的数据.
- 关注系统和行政原因对于改善患者安全至关重要.
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