Physicians' and nurses' perceptions of patient safety risks in the emergency department
Physicians' and nurses' perceptions of patient safety risks in the emergency department
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DOI：
10.1016/j.ienj.2017.01.002
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发表时间：
2017-07-01
影响因子：
1.8
通讯作者：
Goransson, Katarina E.
中科院分区：
文献类型：
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作者：
Kallberg, Ann-Sofie;Ehrenberg, Anna;Goransson, Katarina E.
急诊科被描述为错误的高风险区域。众所周知，医疗保健领域的高工作量和人员短缺等工作条件是对患者安全产生负面影响的常见因素。对瑞典急诊科的病人安全进行了数量有限的研究。此外，缺乏关于临床医生对患者安全风险的认知的知识。因此，本研究的目的是描述急诊科临床医生在患者安全风险方面的经验。方法：对来自两个急诊科的10名内科医生和10名注册护士进行半结构化访谈。访谈采用归纳内容分析法进行分析。结果：这些经验反映了专业实践日常操作的复杂性，以及由于高工作量、缺乏控制、沟通和组织失败而产生的风险感知。结论：结果反映了一个复杂的系统，在这个系统中，高工作量被认为是对患者安全的一种风险，并且与其他风险相结合，被认为进一步危及患者安全。急诊科工作人员应参与制定患者安全程序，以增加对风险因素的认识，并确定有助于在工作量大的时期维护患者安全的策略。(c) 2017 Elsevier Ltd.版权所有。
The emergency department has been described as a high-risk area for errors. It is also known that working conditions such as a high workload and shortage off staff in the healthcare field are common factors that negatively affect patient safety. A limited amount of research has been conducted with regard to patient safety in Swedish emergency departments. Additionally, there is a lack of knowledge about clinicians' perceptions of patient safety risks. Therefore, the purpose of this study was to describe emergency department clinicians' experiences with regard to, patient safety risks.Method: Semi-structured interviews were conducted with 10 physicians and 10 registered nurses from two emergency departments. Interviews were analysed by inductive content analysis. Results: The experiences reflect the complexities involved in the daily operation of a professional practice, and the perception of risks due to a high workload, lack of control, communication and organizational failures.Conclusion: The results reflect a complex system in which high workload was perceived as a risk for patient safety and that, in a combination with other risks, was thought to further jeopardize patient safety. Emergency department staff should be involved in the development of patient safety procedures in order to increase knowledge regarding risk factors as well as identify strategies which can facilitate the maintenance of patient safety during periods in which the workload is high. (c) 2017 Elsevier Ltd. All rights reserved.