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护理疏忽调查的认知与初始心理测量测试:一种用于初级保健的新型患者安全工具。

Cognitive and Initial Psychometric Testing of the Errors of Care Omission Survey: A New Patient Safety Tool for Primary Care.

作者信息

Poghosyan Lusine, Norful Allison A, Liu Jianfang, Shaffer Jonathan

机构信息

Columbia University School of Nursing, New York, NY.

University of Colorado Denver, Denver, CO.

出版信息

J Nurs Meas. 2019 Apr 1;27(1):16-32. doi: 10.1891/1061-3749.27.1.16.

Abstract

BACKGROUND AND PURPOSE

Most patient safety studies focus on errors of commission rather than on errors of omission. No tools measure errors of omission in primary care. We developed the Errors of Care Omission Survey (ECOS) and present its cognitive and psychometric testing.

METHODS

Twenty-six primary care providers (PCPs) participated in cognitive interviews, which were audiotaped, transcribed, and analyzed. ECOS was also pilot tested with 37 PCPs. Item analysis and reliability testing w conducted.

RESULTS

Interviewees agreed that ECOS measures errors of omission and items were clear. The response categories were revised. All items were correlated and subscales had high internal consistency reliability.

CONCLUSIONS

ECOS can measure errors of omission in primary care.

摘要

背景与目的

大多数患者安全研究关注的是作为错误而非不作为错误。在初级保健中,尚无工具用于衡量不作为错误。我们开发了护理不作为错误调查(ECOS)并展示了其认知和心理测量测试。

方法

26名初级保健提供者(PCP)参与了认知访谈,访谈进行了录音、转录和分析。ECOS还在37名PCP中进行了预试验。进行了项目分析和信度测试。

结果

受访者一致认为ECOS可衡量不作为错误且项目清晰。对回答类别进行了修订。所有项目均具有相关性,且分量表具有较高的内部一致性信度。

结论

ECOS可测量初级保健中的不作为错误。

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本文引用的文献

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Primary Care Providers' Perspectives on Errors of Omission.初级医疗服务提供者对漏诊失误的看法。
J Am Board Fam Med. 2017 Nov-Dec;30(6):733-742. doi: 10.3122/jabfm.2017.06.170161.
2
A Systematic Review of Patient Safety Measures in Adult Primary Care.成人初级保健中患者安全措施的系统评价
Am J Med Qual. 2017 May/Jun;32(3):237-245. doi: 10.1177/1062860616644328. Epub 2016 Apr 26.
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How safe is primary care? A systematic review.初级保健有多安全?一项系统评价。
BMJ Qual Saf. 2016 Jul;25(7):544-53. doi: 10.1136/bmjqs-2015-004178. Epub 2015 Dec 29.
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Relationship between missed care and urinary tract infections in nursing homes.
Geriatr Nurs. 2015 Mar-Apr;36(2):126-30. doi: 10.1016/j.gerinurse.2014.12.009. Epub 2015 Jan 3.

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