A prospective, physician self-reported adverse incident audit on a general medical unit

Miles D Witham BM BCh MRCP(UK), Peter A Kendall MBBS, FRACP
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引用次数: 12

Abstract There is some evidence that physician self-reporting is an efficient and effective way of collecting data on adverse incidents in health care. This study tested a simple prospective adverse incident audit, self-reported by physicians, on a general medical unit. A total of 158 reports were collected over a 6-month period covering a wide range of quality issues, including, but not limited to, safety issues. One-third of reported incidents occurred within 48 h of hospitalization. One-half of incidents were associated with harm or inconvenience to patients. Reported incidents fell into easily classifiable groups, and the data was used as a platform for a coordinated approach to quality improvement within the department. It is concluded that this technique is an easily implementable addition to the more traditional methods used for quality improvement within general medicine.

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对普通医疗单位进行前瞻性、医师自我报告的不良事件审计
有一些证据表明,医生自我报告是收集医疗保健不良事件数据的一种高效和有效的方式。本研究测试了一个简单的前瞻性不良事件审计,由医生自我报告,在一般医疗单位。在6个月的时间里,共收集了158份报告,涵盖了广泛的质量问题,包括但不限于安全问题。报告的事故中有三分之一发生在住院后48小时内。一半的事故与患者的伤害或不便有关。报告的事件被分成很容易分类的几组,这些数据被用作部门内部协调改进质量方法的平台。结论是,该技术是一种易于实施的补充,更传统的方法用于提高质量在普通医学。
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