儿科患者安全全球评估工具，用于识别儿科患者的安全事件。
Global Assessment of Pediatric Patient Safety Tool for identifying safety incidents in pediatric patients.
机构信息
Universidade Federal do Paraná, Curitiba, PR, Brazil.
出版信息
Rev Paul Pediatr. 2023 May 15;41:e2022076. doi: 10.1590/1984-0462/2023/41/2022076. eCollection 2023.
OBJECTIVE
The aim of this study was to evaluate the accuracy of the Global Assessment of Pediatric Patient Safety (GAPPS) in order to identify patient safety incidents with patient harm or adverse events (AEs).
METHODS
This is a cross-sectional, retrospective study of 240 records of hospitalized patients of both genders under 18 years of age, systematically and randomly selecting 10 charts of patients that meet the GAPPS criteria every 15 days from the 4,041 records of 2017.
RESULTS
The prevalence of AEs was 12.5%, i.e., detected in 30 out of 240 medical records. In total, 53 AEs and 63 harm were recorded, of which 53 (84.1%) were temporary and 43 AE (68.2%) were definitely or probably preventable. The presence of at least one trigger in a medical chart revealed 13 times greater chance of the occurrence of an AE, with sensitivity index of 48.5%, specificity of 100%, and accuracy of 86.5%.
CONCLUSION
GAPPS was effective in detecting patient safety incidents with harm or AE.
目的
本研究旨在评估儿科患者安全全球评估（GAPPS）的准确性，以识别发生患者伤害或不良事件（AE）的患者安全事件。
方法
这是一项回顾性的、横断面的研究，纳入了 240 名 18 岁以下住院患者的记录，每隔 15 天，从 2017 年的 4041 份记录中，系统且随机地选择满足 GAPPS 标准的 10 份患者记录。
结果
AE 的发生率为 12.5%，即 240 份病历中有 30 份检出。共记录了 53 个 AE 和 63 个伤害，其中 53 个（84.1%）为暂时的，43 个 AE（68.2%）为可预防或很可能预防的。在一份病历中至少存在一个触发因素，发生 AE 的可能性增加了 13 倍，其灵敏度指数为 48.5%，特异性为 100%，准确性为 86.5%。
结论
GAPPS 能够有效地检测发生伤害或 AE 的患者安全事件。
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