Contributing factors to errors in Swedish emergency departments
Contributing factors to errors in Swedish emergency departments
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DOI：
10.1016/j.ienj.2014.10.002
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发表时间：
2015-04-01
影响因子：
1.8
通讯作者：
Ehrenberg, Anna
中科院分区：
文献类型：
--
作者：
Kallberg, Ann-Sofie;Goransson, Katarina E.;Ehrenberg, Anna
目的：急诊科（艾德）是一个复杂的、动态的工作环境，其工作量往往是不可控制和不可预测的。医疗保健和艾德中的错误主要与沟通障碍有关。此外，艾德的工作环境容易出现多任务、过度拥挤和中断的情况。假设这些因素对患者安全性有负面影响。报告的错误，从护理提供者主要涉及诊断程序在瑞典ED。然而，对促成因素缺乏了解和国家监督。因此，本研究的目的是描述的促成因素方面发生的错误，在瑞典EDs.Method：描述性设计的基础上，从莱克斯玛丽亚数据库的瑞典国家卫生和福利局的注册数据：结果表明，瑞典ED的错误的因素是多因素的性质。最常见的影响因素是人为错误，其次是在当地的艾德环境和团队failure.Conclusion的因素，艾德错误是多因素的，包括组织和团队合作失败，其中人为错误牵连。为了减少错误，需要进一步研究开发方法，以揭示潜在的工作条件，如高工作量和中断。患者安全研究需要包括对复杂组织系统中人类行为的理解，以及工作条件对患者安全和护理质量的影响。(C)2014爱思唯尔有限公司版权所有。
Objective: The Emergency Department (ED) is a complex and dynamic environment, often resulting in a somewhat uncontrolled and unpredictable workload. Contributing factors to errors in health care and in the ED are largely related to communication breakdowns. Moreover, the ED work environment is predisposed to multitasking, overcrowding and interruptions. These factors are assumed to have a negative impact on patient safety. Reported errors from care providers are mainly related to diagnostic procedures in Swedish EDs. However, there is a lack of knowledge and national oversight regarding contributing factors. The aim of this study was therefore to describe contributing factors in regards to errors occurring in Swedish EDs.Method: Descriptive design based on registry data from the Lex Maria database of the Swedish National Board of Health and Welfare.Results: The results indicate that factors contributing to errors in Swedish EDs are multifactorial in nature. The most common contributing factor was human error followed by factors in the local ED environment and teamwork failure.Conclusion: Factors contributing to ED errors were multifactorial and included both organizational and teamwork failure in which human error was implicated. To reduce errors, further research is needed to develop methods that disclose latent working conditions such as high workload and interruptions. Patient safety research needs to include understanding of human behaviour in complex organizational systems and the impact of working conditions on patient safety and quality of care. (C) 2014 Elsevier Ltd. All rights reserved.