伊朗重症监护病房医疗差错原因调查：一项横断面研究。
Investigating Causes of Medical Errors in Intensive Care Units in Iran: A Cross-sectional Study.
作者信息
Moradi Moghaddam Omid, Keshtkar Ahmad, Sedighi Mohsen, Amanollahi Alireza, Aghakhani Kamran, Niakan Lahiji Mohammad
机构信息
Trauma and Injury Research Center, Iran University of Medical Sciences, Tehran, Iran.
Department of Anesthesiology and Critical Care, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
出版信息
Med J Islam Repub Iran. 2023 Jul 12;37:79. doi: 10.47176/mjiri.37.79. eCollection 2023.
BACKGROUND
Medical errors cause disability and mortality in intensive care units (ICUs). We aimed to determine the occurrence and causes of medical errors in the ICUs of Iran.
METHODS
In this cross-sectional study, data from the family complaint files referred to The disciplinary authority of Iran Medical Council was retrospectively reviewed to explore the causes of medical errors. Statistical analysis was performed in SPSS Version 26.0.
RESULTS
A total of 293 complaint files were referred to the disciplinary commission from 2014 to 2019, of which 95 files were related to medical errors in ICUs. The median age of patients was 62 years (46-74 years) and 52 (54.7%) patients were men. Also, 37 (38.9%) patients had decreased levels of consciousness and 42 (42.2%) patients had cardiovascular disease. A total of 40 (42.1%) patients experienced a single medical error and 55 (57.9%) patients experienced more than 1. Causes of medical errors in patients were physician's or nurse's negligence in 53 (55.8%) patients, weak interaction of physician and nurse with the patient and family members in 11 (11.6%) patients, weak interprofessional interaction among physicians in 7 (7.4%) patients, equipment and structure of ICUs in 7 (7.4 patients, nature of ICUs and patients in 6 (6.3%) patients, weak physician-nurse interprofessional interaction in 5 (5.2%) patients) patients, low attention of the physician and the nurse to medication safety in 6 (6.3%) patients.
CONCLUSION
Patient safety is impacted by a variety of medical mistakes. Interprofessional strategies can be developed and put into action to mitigate medical errors in ICUs.
背景
医疗差错导致重症监护病房（ICU）患者出现残疾和死亡。我们旨在确定伊朗ICU中医疗差错的发生率及原因。
方法
在这项横断面研究中，回顾了提交给伊朗医学委员会纪律管理部门的家庭投诉档案数据，以探究医疗差错的原因。使用SPSS 26.0版进行统计分析。
结果
2014年至2019年期间，纪律委员会共收到293份投诉档案，其中95份与ICU中的医疗差错有关。患者的中位年龄为62岁（46 - 74岁），52名（54.7%）为男性。此外，37名（38.9%）患者意识水平下降，42名（42.2%）患者患有心血管疾病。共有40名（42.1%）患者发生了单次医疗差错，55名（57.9%）患者发生了不止一次医疗差错。患者发生医疗差错的原因包括：53名（55.8%）患者是医生或护士的疏忽，11名（11.6%）患者是医生和护士与患者及家属的互动不足，7名（7.4%）患者是医生之间跨专业互动不足，7名（7.4%）患者是ICU的设备和结构问题，6名（6.3%）患者是ICU的性质和患者情况，5名（5.2%）患者是医生与护士跨专业互动不足，6名（6.3%）患者是医生和护士对用药安全的关注度低。
结论
多种医疗失误会影响患者安全。可以制定并实施跨专业策略以减少ICU中的医疗差错。
Zotero 插件