Organizing patient safety research to identify risks and hazards
Organizing patient safety research to identify risks and hazards
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DOI：
10.1136/qhc.12.suppl_2.ii2
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发表时间：
2003-12-01
影响因子：
--
通讯作者：
Lilford, RJ
中科院分区：
文献类型：
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作者：
Battles, JB;Lilford, RJ
患者安全已成为国际优先事项，在美国，英国和其他地方开展了重大研究项目。挑战在于如何组织研究工作，以产生最大的收益，使患者的医疗保健更安全。患者安全性研究计划可分为三个不同阶段：（1）识别风险和危害;（2）设计、实施和评价患者安全性实践;（3）保持警惕，以确保安全环境持续存在，患者安全文化保持到位。显然，在连续体的每个不同阶段都需要不同的研究方法和途径。在第1阶段，可以使用许多研究方法来识别风险和危害，包括使用医疗记录和行政记录审查、事件报告、直接观察、流程图、焦点小组、概率风险评估和安全文化评估。没有一种方法可以普遍应用于识别患者安全方面的风险和危害。相反，应使用多种方法结合使用这些方法，以增加对医疗保健相关损伤或患者伤害的风险和危害的识别。
Patient safety has become an international priority with major research programmes being carried out in the USA, UK, and elsewhere. The challenge is how to organize research efforts that will produce the greatest yield in making health care safer for patients. Patient safety research initiatives can be considered in three different stages: (1) identification of the risks and hazards; (2) design, implementation, and evaluation of patient safety practices; and (3) maintaining vigilance to ensure that a safe environment continues and patient safety cultures remain in place. Clearly, different research methods and approaches are needed at each of the different stages of the continuum. A number of research approaches can be used at stage 1 to identify risks and hazards including the use of medical records and administrative record review, event reporting, direct observation, process mapping, focus groups, probabilistic risk assessment, and safety culture assessment. No single method can be universally applied to identify risks and hazards in patient safety. Rather, multiple approaches using combinations of these methods should be used to increase identification of risks and hazards of health care associated injury or harm to patients.