Identification of Patient Safety Threats in a Post-Intensive Care Clinic.
Identification of Patient Safety Threats in a Post-Intensive Care Clinic.
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DOI：
10.1097/jmq.0000000000000118
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发表时间：
2023-05-01
影响因子：
1.4
通讯作者：
McSparron, Jakob I.
中科院分区：
文献类型：
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作者：
Karlic, Kevin J.;Valley, Thomas S.;Cagino, Leigh M.;Prescott, Hallie C.;Iwashyna, Theodore J.;Mohammad, Rima A.;Pitcher, Mari;Haezebrouck, Evan;McSparron, Jakob I.
重症监护室（ICU）后诊所可以在多大程度上改善接受重症监护后出院的患者的安全性仍不清楚。这项在学术三级医疗中心进行的观察性队列研究使用了通过传统内容分析分析的定性调查数据，以描述ICU后诊所遇到的患者安全威胁。对于纳入的83例患者，确定了60例患者的安全性威胁，导致96个单独的安全性威胁。这些被分为7个主题：用药错误（27%）;医疗随访不足（25%）;患者支持不足（16%）;高风险行为（5%）;医疗并发症（5%）;设备/用品故障（4%）;和其他（18%）。在96项安全威胁中，41%是可预防的，27%是可改善的，32%既不可预防也不可改善。在ICU后门诊中，近4分之3的患者存在可识别的安全威胁。用药错误和延迟的医疗随访是最常见的安全性威胁;大多数是可以预防或改善的。
The extent to which postintensive care unit (ICU) clinics may improve patient safety for those discharged after receiving intensive care remains unclear. This observational cohort study conducted at an academic, tertiary care medical center used qualitative survey data analyzed via conventional content analysis to describe patient safety threats encountered in the post-ICU clinic. For 83 included patients, safety threats were identified for 60 patients resulting in 96 separate safety threats. These were categorized into 7 themes: medication errors (27%); inadequate medical follow-up (25%); inadequate patient support (16%); high-risk behaviors (5%); medical complications (5%); equipment/supplies failures (4%); and other (18%). Of the 96 safety threats, 41% were preventable, 27% ameliorable, and 32% were neither preventable nor ameliorable. Nearly 3 out of 4 patients within a post-ICU clinic had an identifiable safety threat. Medication errors and delayed medical follow-up were the most common safety threats identified; most were either preventable or ameliorable.