Toward understanding errors in inpatient psychiatry: a qualitative inquiry.
Toward understanding errors in inpatient psychiatry: a qualitative inquiry.
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理解住院精神病学中的错误：定性调查。
DOI：
10.1007/s11126-010-9129-z
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发表时间：
2010
期刊：
影响因子：
--
通讯作者：
Marcus,StevenC
中科院分区：
文献类型：
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作者：
Cullen,SaraWiesel;Nath,SaraBressi;Marcus,StevenC
虽然先前的研究已经确定了一般医疗环境中医疗错误的影响，性质和原因，但对住院精神病学中的错误知之甚少。了解住院精神病学中发生的广泛错误是改善弱势患者群体护理系统的关键一步。探索性的定性分析的关键线人访谈确定了一个初步的错误类型和上下文因素，沉淀他们在住院精神病学。错误的类型及其背景因素大致属于医学和外科学中确定的类别。然而，许多具体的错误和背景因素表现出不同的，是由住院精神病患者的设置和患者人群的独特性。旨在改善精神病患者护理系统的干预措施应借鉴医学和手术安全的最佳实践，但也要辅之以专门针对住院精神病患者的新策略。
While prior research has identified the impact, nature, and causes of medical error in general medical settings, little is known about errors in inpatient psychiatry. Understanding the broad range of errors that occur in inpatient psychiatry is a critical step toward improving systems of care for a vulnerable patient population. An explorative qualitative analysis of key informant interviews identified a preliminary typology of errors and the contextual factors that precipitate them in inpatient psychiatry. The types of errors and their contextual factors fall broadly within the rubric of categories identified in medicine and surgery. However, many of the specific errors and contextual factors manifest themselves differently and are shaped by the uniqueness of the inpatient psychiatric setting and patient population. Interventions geared toward improving systems of care for psychiatric patients should draw on best practices for safety in medicine and surgery, but also be complemented with new strategies specifically tailored to the inpatient psychiatric setting.