- 在線時間
- 5927 小時
- 最後登錄
- 25-9-5
- 國民生產力
- 11
- 附加生產力
- 28943
- 貢獻生產力
- 0
- 註冊時間
- 10-2-9
- 閱讀權限
- 10
- 帖子
- 11010
- 主題
- 74
- 精華
- 0
- 積分
- 39964
- UID
- 584294
  
|
本帖最後由 ABC-DAD 於 17-10-30 18:01 編輯
A Comprehensive Overview of Medical Error in Hospitals Using Incident-Reporting Systems, Patient Complaints and Chart Review of Inpatient Deaths
轉貼文章
。。。。Abstract[size=18.6667px]BackgroundIncident reporting systems (IRS) are used to identify medical errors in order to learn from mistakes and improve patient safety in hospitals. However, IRS contain only a small fraction of occurring incidents. A more comprehensive overview of medical error in hospitals may be obtained by combining information from multiple sources. The WHO has developed the International Classification for Patient Safety (ICPS) in order to enable comparison of incident reports from different sources and institutions.
MethodsThe aim of this paper was to provide a more comprehensive overview of medical error in hospitals using a combination of different information sources. Incident reports collected from IRS, patient complaints and retrospective chart review in an academic acute care hospital were classified using the ICPS. The main outcome measures were distribution of incidents over the thirteen categories of the ICPS classifier “Incident type”, described as odds ratios (OR) and proportional similarity indices (PSI).
ResultsA total of 1012 incidents resulted in 1282 classified items. Large differences between data from IRS and patient complaints (PSI = 0.32) and from IRS and retrospective chart review (PSI = 0.31) were mainly attributable to behaviour (OR = 6.08), clinical administration (OR = 5.14), clinical process (OR = 6.73) and resources (OR = 2.06).
。。。 Article information[size=0.9375em]PLoS One. 2012; 7(2): e31125.
Published online 2012 Feb 16. doi: 10.1371/journal.pone.0031125
PMCID: PMC3281055
Jeantine M. de Feijter,[size=13.125px]1,[size=13.125px]* Willem S. de Grave,[size=13.125px]1 Arno M. Muijtjens,[size=13.125px]1 Albert J. J. A. Scherpbier,[size=13.125px]2 andRichard P. Koopmans[size=13.125px]3
Daniel Morgan, Editor
[size=13.125px]1Department of Educational Development and Research, Faculty of Health Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands
[size=13.125px]2Faculty of Health Medicine and Life Sciences, Institute for Medical Education, Maastricht University, Maastricht, The Netherlands
[size=13.125px]3Department of Internal Medicine, Maastricht University Medical Centre, Maastricht, The Netherlands
University of Maryland, School of Medicine, United States of America
* E-mail: [email protected]
Conceived and designed the experiments: JMF WSG AJJAS RPK. Performed the experiments: JMF RPK. Analyzed the data: JMF AMM. Contributed reagents/materials/analysis tools: JMF AMM. Wrote the paper: JMF WSG AMM AJJAS RPK.
Received 2011 Sep 2; Accepted 2012 Jan 2.
Copyright de Feijter et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
This article has been cited by other articles in PMC.
Articles from PLoS ONE are provided here courtesy of Public Library of Science
睇完上面轉貼文章，更加唔明張小姐單單強調輸入海外醫生就可以針對性去解決到醫療事故問題係咩logic。
|
|
發表於 17-10-30 13:38
