• homeHOME
  • 활동
  • 환자안전 연구

환자안전 연구

ㆍ 제목 How effective are patient safety initiatives? A retrospective patient record review study of changes to patient safety over time
ㆍ 조회수 2598 ㆍ 등록일시 2015-07-23
ㆍ 첨부파일

How effective are patient safety initiatives? A retrospective patient record review study of changes to patient safety over time

 
 2015 Jul 6. pii: bmjqs-2014-003702. doi: 10.1136/bmjqs-2014-003702. [Epub ahead of print]

Abstract

OBJECTIVES:

To assess whether, compared with previous years, hospital care became safer in 2011/2012, expressing itself in a fall in preventable adverse event (AE) rates alongside patient safety initiatives.

DESIGN:

Retrospective patient record review at three points in time.

SETTING:

In three national AE studies, patient records of 2004, 2008 and 2011/2012 were reviewed in, respectively, 21 hospitals in 2004, 20 hospitals in 2008 and 20 hospitals in 2011/2012. In each hospital, 400, 200 and 200 patient records were sampled, respectively.

PARTICIPANTS:

In total, 15 997 patient admissions were included in the study, 7926 patient admissions from 2004, 4023 from 2008 and 4048 from 2011/2012.

INTERVENTIONS:

The main patient safety initiatives in hospital care at a national level between 2004 and 2012 have been small as well as large-scale multifaceted programmes.

MAIN OUTCOME MEASURES:

Rates of both AEs and preventable AEs.

RESULTS:

Uncorrected crude overall AE rates showed no change in 2011/2012 in comparison with 2008, whereas preventable AE rates showed a reduction of 45%. After multilevel corrections, the decrease in preventable AE rate in 2011/2012 was still clearly visible with a decrease of 30% in comparison to 2008 (p=0.10). In 2011/2012, fewer preventable AEs were found in older age groups, or related to the surgical process, in comparison with 2008.

CONCLUSIONS:

Our study shows some improvements in preventable AEs in the areas that were addressed during the comprehensive national safety programme. There are signs that such a programme has a positive impact on patient safety.


http://www.ncbi.nlm.nih.gov/pubmed/26150548

이전글 Expanding the scope of Critical Care Rapid Response Teams: a feasible approach to identify adverse events. A prospective observational cohort.
다음글 The Global Comparators project: international comparison of 30-day in-hospital mortality by day of the week
비밀번호 입력 X
비밀번호
확인
TOP