使用医学影像申请表作为触发工具来检测院内不良事件:一项试点研究。

IF 2 4区 医学 Q4 Medicine
Journal of the Belgian Society of Radiology Pub Date : 2022-11-10 eCollection Date: 2022-01-01 DOI:10.5334/jbsr.2897
Melody Saikali, Marin Halut, Antoine Saab, Bruno Vande Berg, Nicolas Michoux, Charbel Mourad
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引用次数: 0

摘要

目的:评价医学影像申请表作为触发工具在检测住院患者不良事件(AE)中的作用。材料和方法:这是一项单一机构的回顾性研究。2019年1月至6月,对入院后>48小时的住院患者进行放射检查的申请表,提取医院信息系统(HIS)。调查的请求形式为:上肢多普勒超声,下肢多普勒超声,24小时内连续重复3次胸片请求,分别检测上肢或下肢静脉血栓形成,或与呼吸系统相关的ae。评估患者的病历和放射检查,以记录AE的存在或不存在。将三组触发工具中ae的频率与相应的对照组进行比较,并根据年龄、性别和住院时间进行匹配。结果:在研究期间共2798例住院患者中,由三种类型的放射请求表格引发的档案有74份。与上肢静脉血栓相关的AE有6/24例(25%),与下肢静脉血栓相关的AE有4/33例(12.1%),与呼吸系统相关的AE有6/17例(35.3%)。对于所有触发工具,研究组的AE频率明显高于对照组。结论:医学影像要求可作为潜在的触发工具,用于检测与住院相关的不良事件。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The Use of Medical Imaging Request Forms as Trigger Tools to Detect Intra-Hospital Adverse Events: A Pilot Study.

The Use of Medical Imaging Request Forms as Trigger Tools to Detect Intra-Hospital Adverse Events: A Pilot Study.

Aim: To evaluate the contribution of medical imaging request forms as trigger tools to detect patient adverse event (AE) occurring during hospitalization.

Material and methods: This is a retrospective study in a single institution. Between January and June 2019, the hospital information system (HIS) was fetched for request forms of radiological examinations performed for inpatients >48 hours after the admission date. The investigated request forms were: Doppler ultrasound of the upper limbs, Doppler ultrasound of the lower limbs, and the repetition of three consecutive requests of chest radiographs within 24 hrs, to detect upper or lower limb venous thrombosis, or AEs related to the respiratory system, respectively. Patients' medical charts and radiological examinations were evaluated to document the presence or absence of an AE. The frequencies of AEs in the three groups of trigger tools were compared to corresponding control groups, matched according to age, sex and length of stay.

Results: Among a total of 2798 hospital admissions during the study period, there were 74 files triggered by the three types of radiological request forms. There were 6/24 AE (25%) related to upper limb venous thrombosis, 4/33 (12.1%) AE related to lower limb venous thrombosis, and 6/17 (35.3%) AE related to the respiratory system. For all the trigger tools, the frequency of AE in the study groups was significantly higher than that in the control groups.

Conclusion: Medical imaging requests could be used as potential trigger tools to detect adverse events related to hospital stay.

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来源期刊
Journal of the Belgian Society of Radiology
Journal of the Belgian Society of Radiology Medicine-Radiology, Nuclear Medicine and Imaging
CiteScore
0.60
自引率
5.00%
发文量
0
审稿时长
6-12 weeks
期刊介绍: The purpose of the Journal of the Belgian Society of Radiology is the publication of articles dealing with diagnostic and interventional radiology, related imaging techniques, allied sciences, and continuing education.
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