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考察护理专业学生在临床实习期间对各类医疗差错的认知以提高患者安全:一项多中心横断面研究。

Examining nursing students' awareness of various medical errors during clinical internships to enhance patient safety: A multi-center cross-sectional study.

作者信息

Mousa Ola, Salameh Basma, Ghaly Asmaa Saber, Hasan Md Gulzarull, Almefarfesh Aishah Abdulrahman, Kumari Sheeba, Huwaikem Mashael

机构信息

Faculty of Nursing, Minia University, Minia, Egypt.

Faculty of Nursing, Arab American University, Jenin, Palestine.

出版信息

PLoS One. 2024 Dec 31;19(12):e0311681. doi: 10.1371/journal.pone.0311681. eCollection 2024.

DOI:10.1371/journal.pone.0311681
PMID:39739778
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12140083/
Abstract

BACKGROUND

Patient safety is a global concern within health facilities, primarily attributed to medical errors, constituting a significant global public health issue. Patients experiencing medication errors face serious problems, with increasing mortality rates and escalating hospital costs.

AIM

The study aims to examine nursing students' awareness of various medical errors during their clinical internships at Al- Ahsa, identifying types of errors to enhance patient safety.

METHODS

A cross-sectional study was conducted among 160 nursing students during their internship at King Faisal University, Al Ahasa, Saudi Arabia.A total of 131 participants completed a self-administered questionnaire based on a medical error scale consisting of 43 items across six subscales. Data were analyzed using SPSS version 22. The outcomes of interest included falls, blood and blood Products transfusion, medication practices, care practices, communication, and controlled practices.

RESULTS

Overall, nursing students scored 188 out of 215. Among the sub-dimension scores, medication practices received the highest mean score, while Patient falls emerged with the lowest score. In our study, students ranked falling as the least significant factor.

CONCLUSION

Study findings indicate that nursing students exhibit a low tendency to commit medical errors, which is encouraging for the future implementation of patient safety protocols. This trend suggests that nursing students are developing strong competencies in safe nursing practices, which contributes to reducing the incidence of medical errors and improving overall patient safety in clinical settings.

摘要

背景

患者安全是医疗机构全球关注的问题,主要归因于医疗差错,这构成了一个重大的全球公共卫生问题。经历用药差错的患者面临严重问题,死亡率不断上升,医院成本不断增加。

目的

本研究旨在调查沙特东部省阿赫萨地区护理专业学生在临床实习期间对各种医疗差错的认知情况,确定差错类型以提高患者安全。

方法

在沙特阿拉伯阿赫萨地区法赫德国王大学实习的160名护理专业学生中开展了一项横断面研究。共有131名参与者完成了一份基于医疗差错量表的自填式问卷,该量表由六个子量表中的43个项目组成。使用SPSS 22版软件对数据进行分析。感兴趣的结果包括跌倒、血液及血液制品输血、用药操作、护理操作、沟通和控制操作。

结果

总体而言,护理专业学生在215分中获得了188分。在各维度得分中,用药操作的平均分最高,而患者跌倒得分最低。在我们的研究中,学生们将跌倒列为最不重要的因素。

结论

研究结果表明,护理专业学生出现医疗差错的倾向较低,这对于未来实施患者安全协议是令人鼓舞的。这一趋势表明,护理专业学生正在培养安全护理操作方面的强大能力,这有助于减少医疗差错的发生率,并提高临床环境中患者的整体安全性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c55d/12140083/7f2d9e64bff9/pone.0311681.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c55d/12140083/05633fff2577/pone.0311681.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c55d/12140083/7f2d9e64bff9/pone.0311681.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c55d/12140083/05633fff2577/pone.0311681.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c55d/12140083/7f2d9e64bff9/pone.0311681.g002.jpg

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