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首页> 外文期刊>Journal of Patient Safety & Quality Improvement >Role of Patient Safety Incident Reporting Systems in Home Hospitalization
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Role of Patient Safety Incident Reporting Systems in Home Hospitalization

机译：患者安全事件报告系统在家庭住院中的作用

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Introduction: The present study aimed to assess the effectiveness of the current hospital-based electronic patient safety incident reporting system (IRS) in the improvement of patient safety in home hospitalization (HH). Materials and Methods: Out of 6381 patient safety reports voluntarily presented by healthcare professionals in a tertiary hospital in Barcelona between 2016 and 2019, all those related to HH were analyzed. They were characterized by incident type, description, risk and year, the ways to get notified, patient’s age, and the results of the analysis. Moreover, falls were classified depending on circumstances. Results: Based on the results, 68 HH incident reports were related to the following factors: use of medication (n=2), procedures (1), patient’s behavior (n=1), and falls (n=64). Regarding the damage degree, the incidents were reported as extreme risk (n=1), high (n=8), moderate (n=27), low (29), and very low risk (n=3). The majority of patients involved in the incidents were more than 60 years old. Out of the reported falls, 8 cases were categorized as high risk, and 32 cases reported health consequences. Moreover, 19 falls from height, 31 cases of falling while sitting or lying, and 30 incidents classified as unknown were identified. Conclusion: Patient safety is a matter of great concern, especially in HH but with some differential features. The IRS can play a peculiar role in minimizing patient safety risks and promoting a safety culture. The results of the present study pointed to some frequent risks and suggested improving opportunities in HH. Nonetheless, further studies are needed to design tailored patient safety interventions in HH, as well as a tailored IRS adapted to this growing setting.
机译：介绍：本研究旨在评估当前医院的电子患者安全事件报告系统（IRS）的有效性，以提高家庭住院治疗（HH）。材料与方法：在2016年至2016年间巴塞罗那的一家高等院医院的医疗保健专业人员自愿呈现的6381名患者安全报告中，分析了与HH相关的所有与HH相关的人。它们的特点是事件类型，描述，风险和年份，患者年龄的方法，患者的年龄和分析结果。此外，瀑布根据情况进行分类。结果：根据结果，68 HH事件报告与以下因素有关：使用药物（n = 2），程序（1），患者的行为（n = 1），跌落（n = 64）。关于损伤程度，事故报告为极端风险（n = 1），高（n = 8），中等（n = 27），低（29），风险非常低（n = 3）。参与事件的大多数患者超过60岁。出于报告的跌倒，8例归类为高风险，32例报告了健康后果。此外，19次从高度落下，坐着或撒谎的31例落下，并确定了30个归类为未知的事件。结论：患者安全是一个很好的关注问题，特别是在HH，但具有一些差异特征。美国国税局可以在最大限度地减少患者安全风险和促进安全文化方面发挥特殊的作用。本研究结果指出了一些频繁的风险，并建议在HH中提高机会。尽管如此，需要进一步的研究来设计定制的患者安全干预措施，以及适应这种不断增长的环境的定制IRS。

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