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临床忽视生命体征评估:一个新出现的患者安全问题?

The clinical neglect of vital signs' assessment: an emerging patient safety issue?

机构信息

Monash Nursing & Midwifery, Monash University, Melbourne, Australia.

出版信息

Contemp Nurse. 2022 Aug;58(4):249-252. doi: 10.1080/10376178.2022.2109494. Epub 2022 Aug 10.

DOI:10.1080/10376178.2022.2109494
PMID:35924342
Abstract

Vital signs assessment is a critical component of acute clinical care. Despite this, research has consistently found that the assessment of these signs is often neglected in clinical practice. This paper highlights three recent cases reported in the media where the neglect of vital signs assessment resulted in patient mortality. Recent media reports highlighted the potentially devastating consequences of vital signs not being rigorously assessed, including avoidable death. The public needs to be confident they will receive safe, quality health care when they are admitted to hospital. The neglect of vital signs assessment places patients at risk of poor outcomes. Early detection of clinical deterioration via the assessment of vital signs facilitates prompt medical intervention. Factors contributing to the neglect of vital signs assessment need to be identified and corrective action is taken to improve the safety of clinical care.

摘要

生命体征评估是急性临床护理的关键组成部分。尽管如此,研究一直发现,这些体征的评估在临床实践中经常被忽视。本文重点介绍了媒体报道的最近三起案例,这些案例表明,生命体征评估的疏忽导致了患者死亡。最近的媒体报道强调了生命体征未得到严格评估可能带来的灾难性后果,包括可避免的死亡。当患者住院时,公众需要有信心他们将得到安全、高质量的医疗护理。生命体征评估的疏忽使患者面临不良后果的风险。通过生命体征评估早期发现临床恶化有助于及时进行医疗干预。需要确定导致生命体征评估被忽视的因素,并采取纠正措施来提高临床护理的安全性。

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Improving initial vital signs assessment and documentation in the emergency department of regional hospital, Bhutan: quality improvement project.
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