The Australian Incident Monitoring Study in Intensive Care: AIMS-ICU. An Analysis of the First Year of Reporting
The Australian Incident Monitoring Study in Intensive Care: AIMS-ICU. An Analysis of the First Year of Reporting
复制标题
澳大利亚重症监护事件监测研究：AIMS-ICU。
DOI：
10.1177/0310057x9602400304
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发表时间：
1996
影响因子：
1.5
通讯作者：
W. Runciman
中科院分区：
文献类型：
--
作者：
U. Beckmann;I. Baldwin;G. Hart;W. Runciman
AIMS-ICU项目是一项国家研究，旨在开发、引入和评估重症监护匿名自愿事件报告系统。ICU工作人员报告了可能降低或确实降低患者安全范围的事件。7个ICU提供了536份报告，其中确定了610起事件，涉及气道（20%）、手术（23%）、药物（28%）、患者环境（21%）和ICU管理（9%）。通过重新检查患者或设备，或通过先前的经验，最常检测到事件。大多数患者（短期76%，长期92%）没有因该事件而出现不良反应或仅出现轻微不良反应。确定了多个影响因素，33%基于系统，66%基于人为因素。当收集到足够的数据以允许在定义的“临床情况”中分析事件集时，事件监测有望成为改善ICU中患者安全的有用技术。
The AIMS-ICU project is a national study set up to develop, introduce and evaluate an anonymous voluntary incident reporting system for intensive care. ICU staff members reported events which could have reduced, or did reduce, the safety margin for the patient. Seven ICUs contributed 536 reports, which identified 610 incidents involving the airway (20%), procedures (23%), drugs (28%), patient environment (21%), and ICU management (9%). Incidents were detected most frequently by rechecking the patient or the equipment, or by prior experience. No ill effects or only minor ones were experienced by most patients (short-term 76%, long-term 92%) as a result of the incident. Multiple contributing factors were identified, 33% system-based and 66% human factor-based. Incident monitoring promises to be a useful technique for improving patient safety in the ICU, when sufficient data have been collected to allow analysis of sets of incidents in defined “clinical situations”.