Tsang Carmen, Palmer William, Bottle Alex, Majeed Azeem, Aylin Paul
Dr Foster Unit at Imperial College, Imperial College, London, UK.
Am J Med Qual. 2012 Mar-Apr;27(2):154-69. doi: 10.1177/1062860611414697. Epub 2011 Sep 6.
The literature on patient safety measures derived from routinely collected hospital data was reviewed to inform indicator development. MEDLINE and Embase databases and Web sites were searched. Of 1738 citations, 124 studies describing the application, evaluation, or validation of hospital-based medical error or complication of care measures were reviewed. Studies were frequently conducted in the United States (n = 88) between 2005 and 2009 (n = 77) using Agency for Healthcare Research and Quality patient safety indicators (PSIs; n = 79). The most frequently cited indicators included "postoperative hemorrhage or hematoma" and "accidental puncture and laceration." Indicator refinement is supported by international coding algorithm translations but is hampered by data issues, including coding inconsistencies. The validity of PSIs and similar adverse event screens beyond internal measurement and the effects of organizational factors on patient harm remain uncertain. Development of PSIs in ambulatory care settings, including general practice and psychiatric care, needs consideration.
对从常规收集的医院数据中得出的患者安全措施相关文献进行了综述，以为指标制定提供参考。检索了MEDLINE和Embase数据库及网站。在1738篇文献中，对124项描述基于医院的医疗差错或护理并发症措施的应用、评估或验证的研究进行了综述。这些研究经常在美国开展（n = 88），时间为2005年至2009年（n = 77），使用的是医疗保健研究与质量局的患者安全指标（PSIs；n = 79）。最常被引用的指标包括“术后出血或血肿”和“意外穿刺和撕裂伤”。国际编码算法翻译支持指标细化，但数据问题（包括编码不一致）对其造成了阻碍。除内部测量外，PSIs及类似不良事件筛查的有效性以及组织因素对患者伤害的影响仍不确定。需要考虑在门诊护理环境（包括全科医疗和精神科护理）中制定PSIs。
