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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Preventable adverse events in infants hospitalized with bronchiolitis.
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Preventable adverse events in infants hospitalized with bronchiolitis.

机译：毛细支气管炎住院婴儿的可预防不良事件。

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摘要

OBJECTIVE: To determine the incidence of preventable adverse events (AEs) and near misses (NMs) among infants hospitalized for bronchiolitis at a pediatric tertiary care hospital and the impact of these errors on hospital length of stay (LOS). METHODS: We studied 143 infants with bronchiolitis, ages 0 to 12 months, admitted from December 2002 to April 2003. Using prospective chart review and staff reports, we captured medical errors and AEs. Each event was classified as a (1) preventable AE, (2) nonpreventable AE, (3) intercepted NM, (4) nonintercepted NM, or (5) error with little or no potential for harm. RESULTS: Of 143 patients, 15 (10%) suffered an AE or NM. The incidence of preventable AEs was 10 per 100 admissions. We found a higher incidence of preventable AEs and NMs among critically ill patients (CIPs) compared with non-CIPs (68 vs 5 per 100 admissions, respectively), making the absolute risk of an AE or NM 14 times more likely in CIPs. Mean LOS was significantly longer for CIPs with at least 1 AE (9.1 +/- 8.8 days) than for CIPs without AEs (2.9 +/- 1.5 days). Mean LOS was not significantly different between non-CIPs who did (3.8 +/- 2.6 days) and did not (4.2 +/- 5.0 days) experience an AE. CONCLUSIONS: Preventable AEs occur frequently among patients admitted for bronchiolitis, especially those who are critically ill. CIPs who suffer AEs during their hospitalization have longer hospital LOSs. Future studies should investigate error-prevention strategies with a focus on those patients with severe disease.
机译：目的：确定在儿科三级医院因毛细支气管炎住院的婴儿中可预防的不良事件（AEs）和未遂事件（NMs）的发生率以及这些错误对住院时间（LOS）的影响。方法：我们研究了2002年12月至2003年4月收治的143例0至12个月的毛细支气管炎婴儿。使用前瞻性图表审查和工作人员报告，我们捕获了医疗错误和不良事件。每个事件都被分类为（1）可预防的AE，（2）不可预防的AE，（3）拦截的NM，（4）未被拦截的NM或（5）几乎没有或没有潜在危害的错误。结果：在143例患者中，有15例（10％）患有AE或NM。预防性AE的发生率为每100例入院10例。我们发现，重症患者（CIP）中可预防的AE和NM发生率比非CIPs高（分别为每100例入院68例和5例），这使AE或NM的绝对风险高出CIP 14倍。具有至少1 AE的CIP（9.1 +/- 8.8天）的平均LOS明显高于没有AE的CIP（2.9 +/- 1.5天）。在没有发生AE的非CIP患者中（3.8 +/- 2.6天）和没有发生AE的非CIP患者之间的平均LOS无显着差异（4.2 +/- 5.0天）。结论：在毛细支气管炎住院的患者中，尤其是在重症患者中，可预防的AE频繁发生。在住院期间遭受AE的CIP住院时间更长。未来的研究应该研究预防错误的策略，重点是那些患有严重疾病的患者。

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