Detection of errors by attending physicians on a general medicine service.
Detection of errors by attending physicians on a general medicine service.
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由主治医生在一般医疗服务中发现错误。
DOI：
10.1046/j.1525-1497.2003.20919.x
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发表时间：
2003
影响因子：
5.7
通讯作者：
Krumholz,HarlanM
中科院分区：
文献类型：
--
作者：
Chaudhry,SarwatI;Olofinboba,KolawoleA;Krumholz,HarlanM
背景：主治医生能够很好地识别医疗错误并了解其后果。主治医师在其日常实践过程中可以检测到的错误的频谱目前尚不清楚。结论：确定主治医师在护理患者时可以检测到的错误的频率、类型和后果，并将主治医师首次发现的错误类型与其他提供者发现的错误类型进行比较。设计：主治医师对错误的前瞻性识别。2名主治医师在常规临床护理过程中发现了错误，包括未遂事件和不良事件。错误首先检测到其他医护人员也recorded.MAIN结果：528名患者入院服务，10.4%经历了至少1个错误：6.2%的近距离失误和4.2%的不良事件。尽管差异未达到统计学显著性，但由内部工作人员、护士和实验室技术人员首次检测到的大多数错误均为不良事件;由主治医师、药剂师和顾问首次检测到的大多数错误均为未遂事件。药物错误是最常见的错误类型overwhelm.CONCLUSIONS：主治医师从事常规临床护理可以检测到一系列的错误，并可能存在差异的错误类型检测到的各种医疗保健提供者。
BACKGROUND:Attending physicians are well positioned to identify medical errors and understand their consequences. The spectrum of errors that can be detected by attending physicians in the course of their usual practice is currently unknown.OBJECTIVES:To determine the frequency, types, and consequences of errors that can be detected by attending hospitalist physicians in the care of their patients, and to compare the types of errors first discovered by attending hospitalists to those discovered by other providers.DESIGN:Prospective identification of errors by attending physicians.SETTING:Two hundred-bed, academic hospital.PATIENTS:Five hundred twenty-eight patients admitted to the general medicine service from October 2000 to April 2001.MEASUREMENTS:Errors, both near misses and adverse events, were identified during the course of routine, clinical care by 2 attending hospitalists. Errors first detected by other health care workers were also recorded.MAIN RESULTS:Of the 528 patients admitted to the hospitalist service, 10.4% experienced at least 1 error: 6.2% a near miss and 4.2% an adverse event. Although differences did not achieve statistical significance, most of the errors first detected by house staff, nurses, and laboratory technicians were adverse events; most of the errors first detected by the attending hospitalists, pharmacists, and consultants were near misses. Drug errors were the most common type of error overall.CONCLUSIONS:Attending physicians engaged in routine clinical care can detect a range of errors, and differences may exist in the types of errors detected by various health care providers.