Patient-related factors associated with an increased risk of being a reported case of preventable harm in first-line health care: a case-control study
Patient-related factors associated with an increased risk of being a reported case of preventable harm in first-line health care: a case-control study
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与一线医疗保健中报告的可预防伤害病例风险增加相关的患者相关因素：病例对照研究
DOI：
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发表时间：
2020
影响因子：
2.9
通讯作者：
K. Pukk Härenstam
中科院分区：
文献类型：
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作者：
R. Fernholm;M. Holzmann;C. Wachtler;R. Szulkin;A. Carlsson;K. Pukk Härenstam
背景：初级卫生保健和急诊科的患者安全问题尚未像医院环境中的患者安全问题那样得到彻底探讨。关于哪些患者在这些环境中具有更高的伤害风险的知识尤其稀少。目的是评价哪些患者相关因素与报告安全事件的患者的伤害风险相关。方法在瑞典的初级卫生保健和急诊部门进行病例对照研究。本研究共纳入4536例患者（病例）和44，949例对照。病例包括2011年1月1日至2016年12月31日期间在初级卫生保健和急诊科报告可预防伤害的患者。结果精神疾病，包括所有精神病诊断，无论严重程度如何，几乎是报告的可预防伤害病例的风险的两倍（比值比，1.96; p < 0.001）。经收入和教育调整后，风险仍然增加（比值比，1.69; p < 0.001）。在这一组中，可预防的伤害是46%的躯体疾病诊断错误。结论精神病患者在初级保健和急诊科中发生可预防伤害的风险较高。因此，这个群体需要格外注意，以防止伤害。
Background Patient safety issues in primary health care and in emergency departments have not been as thoroughly explored as patient safety issues in the hospital setting. Knowledge is particularly sparse regarding which patients have a higher risk of harm in these settings. The objective was to evaluate which patient-related factors were associated with risk of harm in patients with reports of safety incidents. Methods A case–control study performed in primary health care and emergency departments in Sweden. In total, 4536 patients (cases) and 44,949 controls were included in this study. Cases included patients with reported preventable harm in primary health care and emergency departments from January 1st, 2011 until December 31st, 2016. Results Psychiatric disease, including all psychiatric diagnoses regardless of severity, nearly doubled the risk of being a reported case of preventable harm (odds ratio, 1.96; p < 0.001). Adjusted for income and education there was still an increased risk (odds ratio, 1.69; p < 0.001). The preventable harm in this group was to 46% diagnostic errors of somatic disease. Conclusion Patients with psychiatric illness are at higher risk of preventable harm in primary care and the emergency department. Therefore, this group needs extra attention to prevent harm.
全国精神分裂症患者非精神病住院期间不良事件的估计。
影响因子：
7
作者：
Khaykin,Elizabeth;Ford,DanielE;Pronovost,PeterJ;Dixon,Lisa;Daumit,GailL
通讯作者：
Daumit,GailL