The Australian Incident Monitoring Study in intensive care: AIMS-ICU. The development and evaluation of an incident reporting system in intensive care
The Australian Incident Monitoring Study in intensive care: AIMS-ICU. The development and evaluation of an incident reporting system in intensive care
复制标题
DOI：
10.1177/0310057x9602400303
复制
发表时间：
1996-06-01
影响因子：
1.5
通讯作者：
Runciman, WB
中科院分区：
文献类型：
--
作者：
Beckmann, U;West, LF;Runciman, WB
重症监护病房是复杂、动态的患者管理环境。事故和事故可能是由人为错误、复杂系统固有的问题或这些因素的组合引起的。研究目的是开发和评估事件报告系统。设计了一份报告表格，其中包括对事件的描述、背景信息和促成因素。采用开放式问题、工作场所观察和对先前叙述的审查等方式，举行了工作人员小组会议，以编制报告表格。三个重症监护病房参加了为期两个月的评估研究。反馈问卷被用来评估工作人员的态度和理解，项目设计和组织。90%以上的参与者对此表示了积极的态度和良好的理解。沟通、技术、问题识别和图表方面的错误是报告的128起事件中最常见的诱发因素。得出的结论是，事件监测可能是一个合适的技术，以提高病人的安全在重症监护。
Intensive care units are complex, dynamic patient management environments. Incidents and accidents can be caused by human error, by problems inherent in complex systems, or by a combination of these. Study objectives were to develop and evaluate an incident reporting system. A report form was designed eliciting a description of the incident, contextual information and contributing factors. Staff group sessions using open-ended questions, observations in the workplace and a review of earlier narratives were used to develop the report form. Three intensive care units participated in a two-month evaluation study. Feedback questionnaires were used to assess staff attitudes and understanding, project design and organization. These demonstrated a positive attitude and good understanding by more than 90% participants. Errors in communication, technique, problem recognition and charting were the predisposing factors most commonly chosen in the 128 incidents reported. It was concluded that incident monitoring may be a suitable technique for improving patient safety in intensive care.