The Threats to Australian Patient Safety (TAPS) study: incidence of reported errors in general practice
The Threats to Australian Patient Safety (TAPS) study: incidence of reported errors in general practice
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DOI：
10.5694/j.1326-5377.2006.tb00482.x
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发表时间：
2006-07-17
影响因子：
11.4
通讯作者：
Stromer, Simone
中科院分区：
文献类型：
--
作者：
Makeham, Meredith A. B.;Kidd, Michael R.;Stromer, Simone
目的：确定新南威尔士州全科医生匿名报告错误的发生率。设计：澳大利亚患者安全威胁 (TAPS) 研究采用全科医生通过安全网络问卷匿名报告错误的方法，从 2003 年 10 月起持续 12 个月。设置：新南威尔士州的一般医疗实践分为三组：主要城市中心 (RRMA 1)、大区域 (RRMA 2-3) 以及农村和偏远地区 (RRMA) 4-7). 参与者：84 名全科医生，来自 4666 名新南威尔士州全科医生的分层随机样本，其中 41 名 (49%) 来自 RRMA 1，22 名 (26%) 来自 RRMA 2-3，21 名 (25%) 来自 RRMA 4-7。参与者代表了新南威尔士州 4666 名医生的全科医生源群体（医疗保险项目计费、参与者年龄和性别）。主要结果指标：错误报告总数以及每个医疗保险患者遇到项目和每年就诊的每位患者的错误报告总数和报告错误发生率。结果：84 位全科医生提交了 418 份错误报告，索赔了 490864 项医疗保险患者遇到项目，并在 12 个月内接诊了 166,569 名患者。每年每个 Medicare 患者遭遇项目的报告错误发生率为 0.078% (95% Cl, 0.076%-0.080%)。每年每位患者报告错误的发生率为 0.240%（95% Cl，0.235%-0.245%）。 RRMA 分组之间的错误报告频率没有显着差异。结论：这是第一项描述代表性样本中全科医生报告错误发生率的研究。当提供匿名报告系统时，每 1000 个与计费的患者就诊相关的 Medicare 项目大约报告一个错误，并且每 1000 个 GP 就诊的个人患者大约报告两个错误。
Objective: To determine the incidence of errors anonymously reported by general practitioners in NSW.Design: The Threats to Australian Patient Safety (TAPS) study used anonymous reporting of errors by GPs via a secure web-based questionnaire for 12 months from October 2003.Setting: General practices in NSW from three groupings: major urban centres (RRMA 1), large regional areas (RRMA 2-3), and rural and remote areas (RRMA 4-7).Participants: 84 GPs from a stratified random sample of the population of 4666 NSW GPs - 41 (49%) from RRMA 1, 22 (26%) from RRMA 2-3, and 21 (25%) from RRMA 4-7. Participants were representative of the GP source population of 4666 doctors in NSW (Medicare items billed, participant age and sex).Main outcome measures: Total number of error reports and incidence of reported errors per Medicare patient encounter item and per patient seen per year.Results: 84 GPs submitted 418 error reports, claimed 490864 Medicare patient encounter items, and saw 166 569 individual patients over 12 months. The incidence of reported error per Medicare patient encounter item per year was 0.078% (95% Cl, 0.076%-0.080%). The incidence of reported errors per patient seen per year was 0.240% (95% Cl, 0.235%-0.245%). No significant difference was seen in error reporting frequency between RRMA groupings.Conclusions: This is the first study describing the incidence of GP-reported errors in a representative sample. When an anonymous reporting system is provided, about one error is reported for every 1000 Medicare items related to patient encounters billed, and about two errors are reported for every 1000 individual patients seen by a GP.