Schefft Matthew, Noda Andrew, Godbout Emily
Department of Pediatrics, Division of Hospital Medicine, Children's Hospital of Richmond at Virginia Commonwealth University Health System, Richmond, Virginia, USA.
Children's Hospital of Richmond at VCU, 1001 E Marshall St, Richmond, VA 23298 USA.
Curr Treat Options Pediatr. 2021;7(3):138-151. doi: 10.1007/s40746-021-00227-6. Epub 2021 Jul 12.
Review important patient safety and stewardship concepts and use clinical examples to describe how they align to improve patient outcomes and reduce harm for children.
Current evidence indicates that healthcare overuse is substantial. Unnecessary care leads to avoidable adverse events, anxiety and distress, and financial toxicity. Increases in antimicrobial resistance, venous thromboembolism, radiation exposure, and healthcare costs are examples of patient harm associated with a lack of stewardship. Studies indicate that many tools can increase standardization of care, improve resource utilization, and enhance safety culture to better align safety and stewardship.
The principles of stewardship and parsimonious care can improve patient safety for children.
回顾重要的患者安全与管理理念，并通过临床实例描述它们如何协同作用以改善儿童患者的治疗效果并减少伤害。
当前证据表明医疗过度使用现象严重。不必要的治疗会导致可避免的不良事件、焦虑和痛苦以及经济负担。抗菌药物耐药性增加、静脉血栓栓塞、辐射暴露和医疗费用增加等都是与缺乏管理相关的患者伤害实例。研究表明，许多工具可以提高护理的标准化程度、改善资源利用并加强安全文化，从而更好地协调安全与管理。
管理和简约医疗原则可提高儿童患者的安全性。
