医疗系统中的事故报告系统是提高患者安全的必要条件吗?回顾

G. Fernando, Thushari Bandara, M. Purva
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摘要

医疗差错、伤害或设备故障等可能伤害患者、护理人员或其他个人或有可能伤害他们的不良事件被称为医疗事故。在提供医疗保健期间,必须避免对人造成意外或意外伤害。在医疗保健环境中,事件报告是指收集医疗保健事件数据,目的是提高患者安全和护理质量。这篇综述的目的是讨论事件报告系统(IRS)在医疗保健系统中的实践,有用性和缺点。医院不良事件评估的历史可以追溯到20世纪80年代。自那时以来,许多发达国家都强调在其卫生系统中建立irs。2005年,世界卫生组织发布了医疗机构建立事件报告系统的指南。在医疗保健系统中,事件报告的好处包括预防不良事件的再次发生,提供有关风险事件的最新知识和理解,创建经验教训和促进安全意识文化。从长远来看,它为医疗保健预算节省了一大笔钱。报告不足是事件报告的主要挑战。建议在所有发展中国家的保健服务中实施全面的社会责任准则,以推动良好的医疗做法,并确保病人护理的安全和质量。
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Are Incident Reporting Systems in Healthcare Systems a Requirement for Improving Patient Safety? A Review
Adverse events such as medical errors, injuries, or equipment failures which could harm patients, caregivers, or other individuals or has the potential to harm them are known as medical incidents. Avoidance of unintended or unexpected harm to people during the provision of healthcare is mandatory. In healthcare settings incident reporting refers to collecting healthcare incident data with the aim of enhancing patient safety and quality of care. This review aims to discuss the practice, usefulness and drawbacks of Incident Reporting System (IRS) in healthcare systems. The history of adverse events assessment in hospital setup runs back till 1980s. Since then, many developed countries have put emphasis on the establishment of IRSs in their health systems. In 2005, the World Health Organization issued a guideline to be followed on the establishment of incident reporting systems in healthcare organizations. Benefits of incident reporting in healthcare systems include prevention of reoccurrences of adverse events, provision an updated knowledge and understanding about risk events, create lessons and promote safety-minded culture. It saves a considerable sum of money of the healthcare budget in the long run. Under-reporting is the main challenge in incident reporting. It is recommended to implement comprehensive IRSs in health services in all developing countries in order to drive good medical practice and to ensure the safety and quality of patient care.
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