检查清单和错误报告系统在提高患者安全和减少医疗差错方面的有效性:叙述性回顾  

The effectiveness of checklists and error reporting systems in enhancing patient safety and reducing medical errors in hospital settings:A narrative review

作　　者：Emmanuel Aoudi Chance Dia Florence Innocent Sardi Abdoul 

机构地区：[1]VID Specialized University,Bergen,Norway [2]Universite de Bertoua,Cameroon [3]Univerity of Ngaoundere,Cameroon

出　　处：《International Journal of Nursing Sciences》2024年第3期387-398,共12页国际护理科学（英文）

摘　　要：目的探讨检查清单和错误报告系统对医院患者安全和医疗错误的影响。方法系统检索2013-2023年的学术数据库,对符合纳入标准的同行评议研究进行严谨的方法学评估。该综述强调了支持核对表在减少用药错误、手术并发症和其他不良事件方面的有效性证据。错误报告系统提高了透明度,鼓励专业人员报告事件并识别系统漏洞。结果检查表和错误报告系统相互关联,在检查表的实施中强调跨专业合作。文章中使用的不同方法和潜在的发表偏倚可能产生局限性;此外,语言限制可能会排除有价值的非英语研究。虽然积极的影响是显而易见的,但成功取决于组织文化和资源。结论通过查阅相关文献,强调干预措施的重要性,并呼吁进一步研究检查清单和错误报告系统在不同医疗保健和文化背景下的有效性,有助于提高患者安全知识。了解这些动态变化对于医疗保健提供者优化患者安全至关重要。Objectives:This narrative review aimed to explore the impact of checklists and error reporting systems on hospital patient safety and medical errors.Methods:A systematic search of academic databases from 2013 to 2023 was conducted,and peerreviewed studies meeting inclusion criteria were assessed for methodological rigor.The review highlights evidence supporting the efficacy of checklists in reducing medication errors,surgical complications,and other adverse events.Error reporting systems foster transparency,encouraging professionals to report incidents and identify systemic vulnerabilities.Results:Checklists and error reporting systems are interconnected.Interprofessional collaboration is emphasized in checklist implementation.In this review,limitations arise due to the different methodologies used in the articles and potential publication bias.In addition,language restrictions may exclude valuable non-English research.While positive impacts are evident,success depends on organizational culture and resources.Conclusions:This review contributes to patient safety knowledge by examining the relevant literature,emphasizing the importance of interventions,and calling for further research into their effectiveness across diverse healthcare and cultural settings.Understanding these dynamics is crucial for healthcare providers to optimize patient safety outcomes.

关 键 词：患者安全 医疗错误 检查表 错误报告系统 健康状况 

分 类 号：R197.323[医药卫生—卫生事业管理]