德国院前急救医学关键事件报告系统数据库：2005 - 2015年报告的沟通及用药错误分析
German critical incident reporting system database of prehospital emergency medicine: Analysis of reported communication and medication errors between 2005-2015.
作者信息
Hohenstein Christian, Fleischmann Thomas, Rupp Peter, Hempel Dorothea, Wilk Sophia, Winning Johannes
机构信息
Department of Emergency Medicine, University Hospital Jena, Jena 07747, Germany.
Department of Emergency Medicine, Westküstenklinikum Heide, Heide 25746, Germany.
出版信息
World J Emerg Med. 2016;7(2):90-6. doi: 10.5847/wjem.j.1920-8642.2016.02.002.
Abstract
BACKGROUND
Communication failure in prehospital emergency medicine can affect patient safety as it does in other areas of medicine as well. We analyzed the database of the critical incident reporting system for prehospital emergency medicine in Germany retrospectively regarding communication errors.
METHODS
Experts of prehospital emergency medicine and risk management screened the database for verbal communication failure, non-verbal communication failure and missing communication at all.
RESULTS
Between 2005 and 2015, 845 reports were analyzed, of which 247 reports were considered to be related to communication failure. An arbitrary classification resulted in six different kinds: 1) no acknowledgement of a suggestion; 2) medication error; 3) miscommunication with dispatcher; 4) utterance heard/understood improperly; 5) missing information transfer between two persons; and 6) other communication failure.
CONCLUSION
Communication deficits can lead to critical incidents in prehospital emergency medicine and are a very important aspect in patient safety.
摘要
背景
与其他医学领域一样，院前急救医学中的沟通失误会影响患者安全。我们回顾性分析了德国院前急救医学危急事件报告系统的数据库中有关沟通错误的情况。
方法
院前急救医学专家和风险管理专家对数据库进行筛查，以查找言语沟通失误、非言语沟通失误以及完全缺失的沟通情况。
结果
2005年至2015年期间，共分析了845份报告，其中247份报告被认为与沟通失误有关。任意分类后得到六种不同类型：1）对建议未予回应；2）用药错误；3）与调度员沟通失误；4）话语被听错/理解错误；5）两人之间信息传递缺失；6）其他沟通失误。
结论
沟通缺陷可导致院前急救医学中的危急事件，并且是患者安全的一个非常重要的方面。
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