Prevalence and consequences of patient safety incidents in general practice in the Netherlands: a retrospective medical record review study.
Prevalence and consequences of patient safety incidents in general practice in the Netherlands: a retrospective medical record review study.
复制标题
荷兰总体实践中患者安全事件的患病率和后果：回顾性医疗记录审查研究。
DOI：
10.1186/1748-5908-6-37
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发表时间：
2011-04-06
期刊：
影响因子：
--
通讯作者：
Wensing M
中科院分区：
文献类型：
--
作者：
Gaal S;Verstappen W;Wolters R;Lankveld H;van Weel C;Wensing M
在医院和全科诊所，病人的安全都可能受到威胁。虽然已经描述了严重的患者安全事件，但在一般实践中对大样本患者进行的定量研究很少。本研究旨在评估一般实践中的患者安全性，并显示可以实施潜在改进的领域。我们对荷兰全科医学的病历进行了回顾性分析。从20个普通诊所随机抽取了1 000名病人。记录了一年内发生的患者安全事件的数量、其潜在原因以及对患者健康的影响。我们在一年内确定了211起患者安全事件（95% CI：185至241）。各种类型的事件，感知的原因和后果被发现。共有58例患者安全事件影响患者; 7例与住院有关;没有导致永久性残疾或死亡。尽管对一般做法的医疗记录进行的这一大规模审计发现了许多患者安全事件，但只有少数对患者健康产生了重大影响。在这种低风险环境中提高患者安全性提出了具体的挑战，因为在一般实践中有大量的患者和接触者。
Patient safety can be at stake in both hospital and general practice settings. While severe patient safety incidents have been described, quantitative studies in large samples of patients in general practice are rare. This study aimed to assess patient safety in general practice, and to show areas where potential improvements could be implemented. We conducted a retrospective review of patient records in Dutch general practice. A random sample of 1,000 patients from 20 general practices was obtained. The number of patient safety incidents that occurred in a one-year period, their perceived underlying causes, and impact on patients' health were recorded. We identified 211 patient safety incidents across a period of one year (95% CI: 185 until 241). A variety of types of incidents, perceived causes and consequences were found. A total of 58 patient safety incidents affected patients; seven were associated with hospital admission; none resulted in permanent disability or death. Although this large audit of medical records in general practices identified many patient safety incidents, only a few had a major impact on patients' health. Improving patient safety in this low-risk environment poses specific challenges, given the high numbers of patients and contacts in general practice.
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影响因子：
--
作者：
Stelfox, H. T.;Palmisani, S.;Bates, D. W.
通讯作者：
Bates, D. W.
影响因子：
2.6
作者：
Smits, Marleen;Janssen, Jasper;Wagner, Cordula
通讯作者：
Wagner, Cordula
影响因子：
--
作者：
Snijders, C.;van der Schaaf, T. W.;Molendijk, A.
通讯作者：
Molendijk, A.
影响因子：
--
作者：
Fischhoff, B
通讯作者：
Fischhoff, B
DOI：
10.1056/nejmopv0907129
发表时间：
2009-09-03
期刊：
The New England journal of medicine
影响因子：
--
作者：
Fournier, Arthur M
通讯作者：
Fournier, Arthur M