Stumpf Paul G, Stumpf Emily, Anderson Britta, Schulkin Jay
Department of Obstetrics and Gynecology, University of Nevada School of Medicine, Las Vegas, Nevada, USA.
Proc West Pharmacol Soc. 2009;52:1-4.
The rate of improvement in patient safety is slow. The goal of this review is to address the results of a survey of Ob-Gyn physicians regarding important patient safety issues. A sample of 600 obstetricians and gynecologists were sent a survey asking them about their beliefs, activities, problems, and source of information regarding patient safety with a response rate of 53.2%. Results about beliefs and patient safety activities have been reported [Stumpf et al., 2009]. Misdiagnosis (95.6%), failure to follow-up with patients (94.9%), and administration of the wrong medication or dosage of a medication (90.5%) were the most often reported patient safety problems. Obstetricians and gynecologists most often use printed materials, CMEs, journals, and practice guidelines for information regarding patient safety. Ob-Gyns prefer to learn new patient safety information using printed materials and post graduate classes rather than materials on compact disk or online webcasts. A majority of respondents recognize patient safety as an important issue. Education about the importance of patient safety may be a less pertinent topic when compared to the need for education about implementing specific tools for patient safety and moving from awareness to action.
患者安全的改善速度缓慢。本综述的目的是阐述一项针对妇产科医生关于重要患者安全问题的调查结果。向600名妇产科医生发放了一份调查问卷，询问他们关于患者安全的信念、行为、问题以及信息来源，回复率为53.2%。关于信念和患者安全行为的结果已有报告[施通普夫等人，2009年]。误诊（95.6%）、未对患者进行随访（94.9%）以及用药错误或用药剂量错误（90.5%）是最常报告的患者安全问题。妇产科医生最常使用印刷材料、继续医学教育、期刊和实践指南来获取有关患者安全的信息。妇产科医生更喜欢通过印刷材料和研究生课程来学习新的患者安全信息，而不是通过光盘材料或在线网络直播。大多数受访者认识到患者安全是一个重要问题。与关于实施患者安全的具体工具以及从意识到行动的教育需求相比，关于患者安全重要性的教育可能是一个不太相关的话题。
