Department of Quality Management, Johns Hopkins Bayview Medical Center, Baltimore, Maryland 21224, USA.
J Patient Saf. 2011 Jun;7(2):106-8. doi: 10.1097/PTS.0b013e31821b3c5f.
Patient Safety Reporting Systems are a commonly used method for capturing information about adverse events and near misses in the acute care setting. These event reports are almost exclusively submitted by the frontline care provider, and the patient perspective of the event is rarely captured. The authors present a case which illustrates the use of eliciting the patient's perspective to provide a complementary perspective to the provider's description of the event. The methodology for obtaining and using this information to enhance understanding of the event and to inform prevention strategies is described.
患者安全报告系统是一种常用于收集急性护理环境中不良事件和接近差错信息的方法。这些事件报告几乎完全由一线医护人员提交,很少能捕捉到患者对事件的看法。作者介绍了一个案例,说明了如何利用患者的观点来提供与医护人员对事件描述互补的视角。还描述了获取和使用这些信息来增强对事件的理解并为预防策略提供信息的方法。