Gouvêa Carla Simone Duarte de, Travassos Claudia
Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brasil.
Cad Saude Publica. 2010 Jun;26(6):1061-78. doi: 10.1590/s0102-311x2010000600002.
A systematic review was conducted to identify the strategies used in the development of patient safety indicators for acute care hospitals. The data sources were MEDLINE, EMBASE, websites, and reference lists from articles and documents. Fourteen projects on the development of indicators were included. The review showed the use of different terms with varying definitions of quality and patient safety. The literature review and participation by specialists and other stakeholders characterized the projects. Of the 285 identified indicators, 125 were classified in more than one quality dimension. The most frequent combination was safety and effectiveness. Most were medication indicators, and more than half were outcome indicators. In developing patient safety indicators, the results show the importance of considering variations in culture and medical practice, the availability of information systems, and the capacity of hospitals and health systems to implement effective monitoring systems.
开展了一项系统评价，以确定急性护理医院患者安全指标制定过程中所采用的策略。数据来源为MEDLINE、EMBASE、网站以及文章和文件的参考文献列表。纳入了14个指标制定项目。该评价显示，在质量和患者安全方面使用了不同术语且定义各异。这些项目的特点是进行了文献综述以及专家和其他利益相关者的参与。在识别出的285个指标中，125个指标被归类到不止一个质量维度。最常见的组合是安全性和有效性。大多数是用药指标，超过一半是结果指标。在制定患者安全指标时，结果表明考虑文化和医疗实践差异、信息系统的可用性以及医院和卫生系统实施有效监测系统的能力非常重要。
