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患者参与自身安全保障

[Patient participation in its own safety].

作者信息

Añel Rodríguez Rosa María, Aibar Remón Carlos, Martín Rodríguez María Dolores

机构信息

Especialista en Medicina Familiar y Comunitaria, Máster en Participación y Desarrollo Comunitario, Médica de familia, Centro de Salud Landako, Durango, País Vasco, España; Grupo de trabajo de Seguridad del Paciente de semFYC.

Especialista en Medicina Preventiva y Salud Pública, Profesor titular de Medicina Preventiva y Salud Pública, Universidad de Zaragoza, Aragón, España; Grupo de trabajo de Seguridad del Paciente de semFYC.

出版信息

Aten Primaria. 2021 Dec;53 Suppl 1(Suppl 1):102215. doi: 10.1016/j.aprim.2021.102215.

DOI:10.1016/j.aprim.2021.102215
PMID:34961579
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8721344/
Abstract

Patient-centered approach to care and regulatory advances developed in recent years have promoted patient involvement in decision-making about diagnostic tests and treatments. In other aspects, such as participating in their own safety, there is still a lot to do. Until recently, the patient has been considered as a simple health services receiver, not as an active part of the system, much less as a safety barrier against failures and errors that occur in health care. Some patients have been activated thanks to their experiences. However, many others do not. That is why it is necessary to proactively sensitize, inform and train patients to participate in their own safety. It is not about holding them responsible, but about facilitating and promoting their participation by reinforcing their safety during the care process. The health system must be committed, and the patient informed and trained. We provide tools and online resources to apply in primary care.

摘要

近年来以患者为中心的护理方法和监管进展促进了患者参与有关诊断测试和治疗的决策。在其他方面,比如参与自身安全方面,仍有很多工作要做。直到最近,患者一直被视为简单的医疗服务接受者,而不是系统的积极参与者,更不是防范医疗保健中出现的故障和错误的安全屏障。一些患者因自身经历而被激发参与。然而,许多其他患者并非如此。这就是为什么有必要积极地使患者敏感起来、告知他们并培训他们参与自身安全。这不是让他们承担责任,而是通过在护理过程中加强他们的安全来促进和推动他们的参与。卫生系统必须做出承诺,患者必须得到告知和培训。我们提供适用于初级护理的工具和在线资源。

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本文引用的文献

1
Patient motivational dialogue: A novel approach to improve hand hygiene through patient empowerment in ambulatory care.患者激励对话:通过在门诊护理中赋予患者权力来改善手部卫生的新方法。
Am J Infect Control. 2020 May;48(5):573-574. doi: 10.1016/j.ajic.2019.11.024. Epub 2020 Jan 3.
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基层医疗保健的医疗质量:糖尿病患者的观点。
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Patients' willingness and ability to participate actively in the reduction of clinical errors: a systematic literature review.患者积极参与减少临床错误的意愿和能力:一项系统文献综述
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8
Review: engaging patients as vigilant partners in safety: a systematic review.综述:让患者作为警惕的安全伙伴参与其中:一项系统评价。
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