希腊儿科医院护理差错调查

Hospitals Pub Date : 2024-07-03 DOI:10.3390/hospitals1010007
Despoina Pappa, E. Evangelou, I. Koutelekos, Evangellos Dousis, G. Toulia, A. Stavropoulou, Nikoletta Margari, Anna Giga, Eftychia Ferentinou, Konstantina Chasaki, Aggeliki Bilali, A. Zartaloudi, Chrysoula Dafogianni
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引用次数: 0

摘要

背景:不良事件是儿科医疗环境中的普遍现象,由于护士始终在患者身边并与患者进行互动,患者安全与护理差错密切相关,这一点超过了其他任何医疗专业人员。本研究旨在探讨希腊医院儿科护士认为影响护理差错的因素。研究方法临床儿科护士自愿匿名完成了一项专门的结构化调查,调查使用了 "错误分类、根源分析和实践责任(TERCAP)"工具,该工具描述了临床实践中发生错误的相关情况。结果显示在受雇于儿科部门的参与者中,80.8%(n = 84)的人表示在工作场所发生过错误。值得注意的是,其中 48.7%(n = 38)的错误归咎于自己(个人责任),而 78.9%(n = 56)的错误则与诊所其他同事所犯的错误有关。根据儿科部门参与者的报告,导致潜在错误发生的主要因素包括:缺乏对新员工的指导和培训或培训不足(43.2%)、缺乏解决分歧的标准化协议(39%)、持续培训不足(38.3%)以及跨学科沟通中断(21%)。最后得出结论:通过根据结果、过程、认知推理、伦理考虑和重要性等不同标准对错误进行分类,本研究提出了一个从不同角度研究儿科护士错误的整体框架。通过这种分类方法,本研究为针对儿科错误的特定方面及其根源进行有针对性的干预奠定了基础。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Investigation of Nursing Errors in Greek Pediatric Hospitals
Background: Adverse events are a prevalent occurrence across pediatric healthcare environments, and patient safety is intricately tied to nursing errors due to nurses’ consistent presence and interaction with patients, which surpasses that of any other healthcare professional. This research sought to explore the factors influencing errors as perceived by pediatric nurses in Greek hospital settings. Methods: Clinical pediatric nurses voluntarily and anonymously completed a specialized structured survey, utilizing the Taxonomy of Error, Root Cause Analysis, and Practice-responsibility (TERCAP) tool, which delineates the circumstances surrounding errors occurring during clinical practice. Results: Among the participants employed in the pediatric department, 80.8% (n = 84) reported experiencing an error at their workplace. Notably, in 48.7% (n = 38) of these instances, the error was attributed to themselves (personal responsibility), while in 78.9% (n = 56) of cases, it was linked to errors committed by other colleagues in the clinic. As reported by participants in pediatric departments, the primary factors contributing to potential error occurrence include the absence or inadequacy of orientation and training for new staff (43.2%), the absence of a standardized protocol for resolving disagreements (39%), insufficient ongoing training (38.3%), and breakdowns in interdisciplinary communication (21%). Conclusions: By classifying errors based on various criteria such as outcomes, processes, cognitive reasoning, ethical considerations, and importance, this study presents a holistic framework for examining pediatric nurses’ errors from diverse perspectives. Through this classification approach, the study establishes a foundation for tailored interventions targeting particular aspects of errors and their root causes in pediatric departments.
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