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[医院调查。护理差错、差错文化与差错管理]

[Survey in hospitals. Nursing errors, error culture and error management].

作者信息

Habermann Monika, Cramer Henning

机构信息

Fakultät Gesellschaftswissenschaften der Hoshschule Bremen.

出版信息

Pflege Z. 2010 Sep;63(9):552-5.

Abstract

Knowledge on errors is important to design safe nursing practice and its framework. This article presents results of a survey on this topic, including data of a representative sample of 724 nurses from 30 German hospitals. Participants predominantly remembered medication errors. Structural and organizational factors were rated as most important causes of errors. Reporting rates were considered low; this was explained by organizational barriers. Nurses in large part expressed having suffered from mental problems after error events. Nurses' perception focussing on medication errors seems to be influenced by current discussions which are mainly medication-related. This priority should be revised. Hospitals' risk management should concentrate on organizational deficits and positive error cultures. Decision makers are requested to tackle structural problems such as staff shortage.

摘要

了解差错对于设计安全的护理实践及其框架至关重要。本文呈现了关于该主题的一项调查结果,包括来自德国30家医院的724名护士的代表性样本数据。参与者主要记得用药差错。结构和组织因素被评为差错的最重要原因。报告率被认为较低;这是由组织障碍所解释的。很大一部分护士表示在差错事件后遭受了心理问题。护士对用药差错的认知似乎受到当前主要与用药相关的讨论的影响。这种优先级应该被重新审视。医院的风险管理应专注于组织缺陷和积极的差错文化。要求决策者解决诸如人员短缺等结构性问题。

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