Källberg Ann-Sofie, Ehrenberg Anna, Florin Jan, Östergren Jan, Göransson Katarina E
Department of Medicine Solna, Karolinska Institutet, Solna, Sweden; Department of Emergency Medicine, Falun Hospital, Falun, Sweden; School of Education, Health and Social Studies, Dalarna University, Falun, Sweden.
School of Education, Health and Social Studies, Dalarna University, Falun, Sweden; School of Health Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Int Emerg Nurs. 2017 Jul;33:14-19. doi: 10.1016/j.ienj.2017.01.002. Epub 2017 Feb 28.
The emergency department has been described as a high-risk area for errors. It is also known that working conditions such as a high workload and shortage off staff in the healthcare field are common factors that negatively affect patient safety. A limited amount of research has been conducted with regard to patient safety in Swedish emergency departments. Additionally, there is a lack of knowledge about clinicians' perceptions of patient safety risks. Therefore, the purpose of this study was to describe emergency department clinicians' experiences with regard to patient safety risks.
Semi-structured interviews were conducted with 10 physicians and 10 registered nurses from two emergency departments. Interviews were analysed by inductive content analysis.
The experiences reflect the complexities involved in the daily operation of a professional practice, and the perception of risks due to a high workload, lack of control, communication and organizational failures.
The results reflect a complex system in which high workload was perceived as a risk for patient safety and that, in a combination with other risks, was thought to further jeopardize patient safety. Emergency department staff should be involved in the development of patient safety procedures in order to increase knowledge regarding risk factors as well as identify strategies which can facilitate the maintenance of patient safety during periods in which the workload is high.
急诊科被描述为一个高差错风险区域。众所周知，医疗领域工作量大、人员短缺等工作条件是对患者安全产生负面影响的常见因素。瑞典急诊科针对患者安全开展的研究数量有限。此外，对于临床医生对患者安全风险的认知也缺乏了解。因此，本研究的目的是描述急诊科临床医生在患者安全风险方面的经历。
对来自两个急诊科的10名医生和10名注册护士进行了半结构化访谈。访谈采用归纳性内容分析法进行分析。
这些经历反映了专业实践日常运作中所涉及的复杂性，以及因工作量大、缺乏控制、沟通和组织失误而产生的风险认知。
结果反映出一个复杂的系统，其中高工作量被视为患者安全的风险，并且与其他风险相结合，被认为会进一步危及患者安全。急诊科工作人员应参与患者安全程序的制定，以增加对风险因素的认识，并确定在工作量大的时期能够促进维持患者安全的策略。
