Grant Mary Jo C, Larsen Gitte Y
Division of Pediatric Critical Care, Department of Pediatrics, Primary Children's Medical Center, University of Utah, Salt Lake City, UT 84113, USA.
J Nurs Care Qual. 2007 Jul-Sep;22(3):213-21. doi: 10.1097/01.NCQ.0000277777.35395.e0.
Adverse event reporting is a key element for improving patient safety. This study describes a new voluntary, anonymous reporting system that facilitates reporting of near-miss and patient harm events and an assessment of patient harm by the bedside care provider in a pediatric intensive care unit. The results demonstrated the effectiveness of the Patient Safety Report as a method to capture near-miss and patient harm events.
不良事件报告是提高患者安全的关键要素。本研究描述了一种新的自愿、匿名报告系统，该系统有助于报告儿科重症监护病房中险些发生的失误及患者伤害事件，并由床边护理人员对患者伤害进行评估。结果证明了患者安全报告作为一种获取险些发生的失误及患者伤害事件的方法的有效性。
