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基层医疗和门诊医疗中的患者安全。

Patient safety in primary and outpatient health care.

作者信息

Kuriakose Rene, Aggarwal Amit, Sohi Ramandeep Kaur, Goel Richa, Rashmi N C, Gambhir Ramandeep Singh

机构信息

Department of Prosthodontics, Pushpagiri College of Dental Sciences, Tiruvalla, Kerala, India.

Department of Oral Medicine and Radiology, MM College of Dental Sciences and Research, MM (Deemed to be University), Mullana, Ambala, Haryana, India.

出版信息

J Family Med Prim Care. 2020 Jan 28;9(1):7-11. doi: 10.4103/jfmpc.jfmpc_837_19. eCollection 2020 Jan.

Abstract

Primary care services provide an entry point into the health system which directly impact's people well-being and their use of other health care resources. Patient safety has been recognised as an issue of global importance for the past 10 years. Unsafe primary and ambulatory care results in greater morbidity, higher healthcare usage and economic costs. According to data from World Health Organization (WHO), the risk of a patient dying from preventable medical accident while receiving health care is 1 in 300, which is much higher than risk of dying while travelling in an airplane. Unsafe medication practices and inaccurate and delayed diagnosis are the most common causes of patient harm which affects millions of patients globally. However, majority of the work has been focussed on hospital care and there is very less understanding of what can be done to improve patient safety in primary care. Provision of safe primary care is priority as every day millions of people use primary care services across the world. The present paper focuses on various aspects of patient safety, especially in the primary care settings and also provides some potential solutions in order to reduce patient harm as much as possible. Some important challenges regarding patient safety in India are also highlighted.

摘要

初级保健服务是进入卫生系统的切入点,直接影响人们的福祉及其对其他卫生保健资源的利用。在过去十年中,患者安全已被公认为一个具有全球重要性的问题。不安全的初级保健和门诊护理会导致更高的发病率、更多的医疗保健使用和经济成本。根据世界卫生组织(WHO)的数据,患者在接受医疗保健时死于可预防医疗事故的风险为三百分之一,这远高于乘坐飞机时的死亡风险。不安全的用药做法以及不准确和延迟的诊断是影响全球数百万患者的最常见患者伤害原因。然而,大部分工作都集中在医院护理上,对于如何改善初级保健中的患者安全知之甚少。提供安全的初级保健是当务之急,因为全世界每天有数以百万计的人使用初级保健服务。本文重点关注患者安全的各个方面,特别是在初级保健环境中,还提供了一些潜在的解决方案,以尽可能减少患者伤害。还强调了印度在患者安全方面的一些重要挑战。

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