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本文引用的文献

1
Patient Safety Culture in Intensive Care Units from the Perspective of Nurses: A Cross-Sectional Study.护士视角下重症监护病房的患者安全文化:一项横断面研究。
Iran J Nurs Midwifery Res. 2017 Sep-Oct;22(5):372-376. doi: 10.4103/ijnmr.IJNMR_150_16.
2
Causes of Medication Errors in Intensive Care Units from the Perspective of Healthcare Professionals.从医疗专业人员角度看重症监护病房用药错误的原因
J Res Pharm Pract. 2017 Jul-Sep;6(3):158-165. doi: 10.4103/jrpp.JRPP_17_47.
3
Evaluating patient safety indicators in orthopedic surgery between Italy and the USA.评估意大利和美国骨科手术中的患者安全指标。
Int J Qual Health Care. 2016 Sep;28(4):486-91. doi: 10.1093/intqhc/mzw053. Epub 2016 Jun 6.
4
Challenges of interprofessional collaboration in Iranian mental health services: A qualitative investigation.伊朗心理健康服务中跨专业协作的挑战:一项定性研究。
Iran J Nurs Midwifery Res. 2012 Feb;17(2 Suppl 1):S171-7.
5
Copper surfaces reduce the rate of healthcare-acquired infections in the intensive care unit.铜表面可降低重症监护病房获得性感染的发生率。
Infect Control Hosp Epidemiol. 2013 May;34(5):479-86. doi: 10.1086/670207.
6
Nurses' perceptions of patient safety climate in intensive care units: a cross-sectional study.护士对重症监护病房患者安全氛围的看法:一项横断面研究。
Intensive Crit Care Nurs. 2012 Dec;28(6):344-54. doi: 10.1016/j.iccn.2012.01.001. Epub 2012 Sep 19.
7
International Nosocomial Infection Control Consortium (INICC) report, data summary of 36 countries, for 2004-2009.国际医院感染控制联盟(INICC)报告,2004-2009 年 36 个国家的数据摘要。
Am J Infect Control. 2012 Jun;40(5):396-407. doi: 10.1016/j.ajic.2011.05.020. Epub 2011 Sep 10.
8
Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive care unit.协作队列研究:一项旨在减少重症监护病房呼吸机相关性肺炎的干预措施。
Infect Control Hosp Epidemiol. 2011 Apr;32(4):305-14. doi: 10.1086/658938.
9
Assessment of patient safety culture in Saudi Arabian hospitals.沙特阿拉伯医院患者安全文化评估
Qual Saf Health Care. 2010 Oct;19(5):e17. doi: 10.1136/qshc.2009.033258. Epub 2010 Apr 29.
10
Selected medical errors in the intensive care unit: results of the IATROREF study: parts I and II.重症监护病房中的部分医疗失误:IATROREF 研究结果:第一部分和第二部分。
Am J Respir Crit Care Med. 2010 Jan 15;181(2):134-42. doi: 10.1164/rccm.200812-1820OC. Epub 2009 Oct 29.

从医疗保健专业人员的角度来看,重症监护病房中威胁患者安全的最常见且最重要的事件。

The most frequent and important events that threaten patient safety in intensive care units from the perspective of health-care professionals'.

作者信息

Farzi Sedigheh, Saghaei Mahmoud, Irajpour Alireza, Ravaghi Hamid

机构信息

Department of Adult Health Nursing, Nursing and Midwifery Care Research Centre, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

Department of Anesthesiology, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

J Res Med Sci. 2018 Dec 28;23:104. doi: 10.4103/jrms.JRMS_140_18. eCollection 2018.

DOI:10.4103/jrms.JRMS_140_18
PMID:30693039
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6327678/
Abstract

BACKGROUND

Patient safety is a priority in all health-care centers across the world. This study aimed to determine the frequency of events that threaten patient safety and the grade threating of events from the perspective of the health-care professionals in the intensive care units (ICUs).

MATERIALS AND METHODS

This cross-sectional study was conducted in 2016. The participants were 306 members of health-care professionals (physicians and nurses) with at least 1 year of work experience in ICUs of educational hospitals affiliated to Isfahan University of Medical Sciences. Data were collected using a three-section self-made questionnaire. Data analysis was done using descriptive statistics (frequency distribution and percentage) and version 16 of SPSS software.

RESULTS

A total of 306 questionnaires were completed out of 320 questionnaires handed out among participants. During the last month, 91.2% of the participants had reported at least a case of medication error, 75.6% had reported at least a case of ventilator-associated pneumonia, and 74.2% had reported at least a case of catheter-induced urinary infection in ICUs.

CONCLUSION

The occurrence of events threatening the patient safety in ICUs warrants proper planning by administrators of health-care centers. Medication error was the most frequent and important event of threat to patient safety and falling was the least frequent event of threat to patient safety in ICUs. Considering the frequency and magnitude of medication error in ICUs, a well-adjusted preventive plan should be designed and implemented to improve the patient safety.

摘要

背景

患者安全是全球所有医疗保健中心的首要任务。本研究旨在从重症监护病房(ICU)医护人员的角度确定威胁患者安全的事件发生频率以及事件的威胁等级。

材料与方法

这项横断面研究于2016年进行。参与者为306名医护人员(医生和护士),他们在伊斯法罕医科大学附属教学医院的ICU至少有1年工作经验。数据通过一份自制的三段式问卷收集。数据分析采用描述性统计(频率分布和百分比)以及SPSS软件16版进行。

结果

在向参与者发放的320份问卷中,共完成了306份。在上个月,91.2%的参与者报告至少发生过1例用药错误,75.6%报告至少发生过1例呼吸机相关性肺炎,74.2%报告至少发生过1例导管相关性尿路感染。

结论

ICU中威胁患者安全的事件发生,需要医疗保健中心管理人员进行适当规划。用药错误是ICU中威胁患者安全最频繁且最重要的事件,跌倒则是威胁患者安全最不频繁的事件。考虑到ICU中用药错误的频率和严重程度,应设计并实施一个经过良好调整的预防计划以提高患者安全。