Patient and staff safety: Voluntary reporting
Patient and staff safety: Voluntary reporting
复制标题
DOI：
10.1177/106286060401900204
复制
发表时间：
2004-03-01
影响因子：
1.4
通讯作者：
Armstrong, G
中科院分区：
文献类型：
--
作者：
Blegen, MA;Vaughn, T;Armstrong, G
努力确保医院患者护理质量的核心是获得有关质量和患者问题的准确数据。目的是描述给药错误（MAE）、患者福尔斯和职业伤害的报告率。一份调查问卷分发给护士（N = 1105受访者）在全国样本的25家医院。这涉及自愿报告、工作环境因素和不报告事件的原因。超过80%的人表示应报告所有MAE，但只有36%的人表示应报告未遂事件。实际报告的感知水平为：47%的MAE、77%的患者福尔斯、48%的针刺、22%的其他体液暴露和17%的背部损伤。行政部门对报告的反应、个人恐惧和单位质量管理与报告有关。患者和工作人员的安全事件报告不足。强有力的质量管理流程和对事故报告的积极回应可能会增加报告并提高安全性。
Central to efforts to assure the quality of patient care in hospitals is having accurate data about quality and patient problems. The purpose was to describe the reporting rates of medication administration errors (MAE), patient falls, and occupational injuries. A questionnaire was distributed to staff nurses (N = 1105 respondents) in a national sample of 25 hospitals. This addressed voluntary reporting, work environment factors, and reasons for not reporting occurrences. More than 80% indicated that all MAEs should be reported, but only 36% indicated that near misses should be reported. Perceived levels of actual reporting were: 47% of MAEs, 77% of patient falls, 48% of needlesticks, 22% of other exposures to body fluids, and 17% of back injuries. Administrative response to reports, personal fears, and unit quality management were related to reporting. Patient and staff safety occurrences are underreported. Strong quality management processes and positive responses to reports of occurrences may increase reporting and enhance safety.