Nursing Department, Alicante University, 03690 Alicante, Spain.
Almoradí Health Center, Health Department 21 Orihuela SNS, 03300 Alicante, Spain.
Int J Environ Res Public Health. 2021 Apr 2;18(7):3718. doi: 10.3390/ijerph18073718.
Patient safety and quality of care are fundamental pillars in the health policies of various governments and international organizations. The purpose of this study is to evaluate nurses' perceptions on the degree of implementation of a protocol for the standardization of care and to measure its influence on notification of adverse events related to the administration of medications. This comparative study used data obtained from questionnaires completed by 180 nurses from medical and surgical units. Our analyses included analysis of variance and regression models. We observe that the responses changed unevenly over time in each group, finding significant differences in all comparisons. The mean response rating was increased at 6 months in the intervention group, and this level was maintained at 12 months. With the new protocol, a total of 246 adverse events and 481 incidents without harm was reported. Thus, actions such as the use of protocols and event notification systems should be implemented to improve quality of care and patient safety.
患者安全和医疗质量是各国政府和国际组织医疗政策的重要基石。本研究旨在评估护士对护理标准化方案实施程度的认知，并衡量其对上报与给药相关不良事件的影响。本对比研究采用问卷调查法收集了来自内科和外科病房的 180 名护士的数据。数据分析包括方差分析和回归模型。我们观察到，在每个组中，随着时间的推移，反应都呈现出不均衡的变化，所有比较均存在显著差异。干预组在 6 个月时的平均反应评分升高，并且在 12 个月时仍保持这一水平。在新方案下，共报告了 246 起不良事件和 481 起无伤害事件。因此，应采取使用方案和事件通报系统等措施来提高医疗质量和患者安全。
