2018-2019年伊朗伊斯法罕创伤中心医疗差错发生率及类型分析

N. T. Chaharsoughi, M. N. Esfahani, Marzieh Sadat Sodoury
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引用次数: 0

摘要

临床差错会影响患者安全,降低护理质量,甚至对患者造成无法弥补的伤害。人们的注意力主要集中在药物错误上;因此,对其他临床错误的关注有限,如护理、治疗和输血错误。为此,本研究旨在对创伤教学医院不同临床错误的类型及发生率进行全面调查。材料与方法本描述性研究旨在评估2018年至2019年伊朗伊斯法罕阿亚图拉卡沙尼医院创伤中心医疗差错的类型和频率。使用临床错误报告表收集数据,包括错误类型、错误严重程度和相关病房等数据。数据采用SPSS 16版软件进行分析。结果共报告错误375次,其中影像学和放射学领域的错误最多(26.7%),其次是实验室和血库(22.9%)。从岗位上看,护士(42.6%)和医生(29.5%)差错最多。此外,大多数错误发生在早班(57.3%)和医院急诊科(28.9%)。结论根据本研究的结果,急诊科应更加重视减少影像学和影像学的文件错误。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevalence and Types of Medical Errors at a Trauma Center in Isfahan, Iran (2018-2019)
Introduction Clinical errors can affect patient safety, reduce the quality of care, or even cause irreparable harm to the patients. Attention has been primarily tended to be directed toward medication errors; accordingly, limited focus has been placed on other clinical errors, such as caring, therapeutic, and blood transfusion errors. Regarding this, the present study was aimed to perform a comprehensive investigation of the type and prevalence of different clinical errors in a teaching trauma hospital. Materials and Methods This descriptive study was targeted toward the evaluation of the types and frequency of medical errors in the Trauma Center of Ayatollah Kashani Hospital in Isfahan, Iran, during 2018 and 2019. The data were collected using a clinical error reporting form, covering such data as the type of error, error severity, and associated ward. The data were analyzed in SPSS software, version 16. Results A total of 375 errors were reported, the majority of which were related to imaging and radiology domains (26.7%), followed by laboratory and blood bank (22.9%). In terms of job position, nurses (42.6%) and physicians (29.5%) made the majority of the errors. Furthermore, most of the errors occurred in the morning shifts (57.3%) and at the hospital emergency department (28.9%). Conclusion According to the results of the present study, the emergency department requires more attention to reduce the documentation errors of radiology and imaging.
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