Hiệu quả cải thiện tình hình báo cáo sự cố y khoa tại Bệnh viện Quận Bình Tân năm 2022

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Tác giả: Anh Nguyễn Nguyễn, Thành Liêm Võ

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y Dược học Phạm Ngọc Thạch, 2024

Mô tả vật lý: tr.81

Bộ sưu tập: Metadata

ID: 361512

Thêm vào giỏ Liên kết toàn văn

- Đặt vấn đề: Sự cố y khoa (SCYK) làm tăng nguy cơ tử vong - tàn tật đối với người bệnh
tăng gánh nặng bệnh tật cho xã hội và cần được can thiệp hạn chế xuất hiện. - Mục tiêu: Xây dựng và đánh giá hiệu quả của mô hình can thiệp quản lý tại bệnh viện quận Bình Tân giúp cải thiện báo cáo SCYK. - Phương pháp nghiên cứu: Can thiệp ở qui mô bệnh viện với nhóm chứng tự thân (6 tháng trước và sau can thiệp). Chương trình can thiệp được xây dựng và triển khai trên cơ sở phân tích số liệu khảo sát thực tế tại bệnh viện. - Kết quả: Có 24 SCYK được ghi nhận trong 6 tháng trước can thiệp. Điều dưỡng là người thực hiện báo cáo tốt nhất. 79,2% SCYK liên quan môi trường làm việc - cơ sở vật chất, hạ tầng, trang thiết bị. Bệnh viện đã phân tích và triển khai thực hiện mô hình can thiệp 3 hướng: tăng cường thông tin - tập huấn về an toàn người bệnh, cải thiện điều kiện ghi nhận SCYK, can thiệp nguyên nhân - khắc phục hậu quả của SCYK. Đối với nhân viên y tế, tỷ lệ kiến thức đúng tăng từ 23,8% lên 73,2%
hành vi đúng tăng từ 37,6% lên 83,2%. Số SCYK được báo cáo tăng 2,698 lần sau can thiệp. - Kết luận: Nghiên cứu đã xây dựng và đánh giá được tính hiệu quả của mô hình can thiệp gồm 3 nhóm hoạt động giúp cải thiện việc ghi nhận và báo cáo các SCYK tại bệnh viện quận Bình Tân.Abstract- Background: Medical Adverse Events (MAEs) at hospital increase patient’s mortality - morbidity risk
increase societal burden of disease and need of having specific intervention.- Objective: To develop and evaluate the effectiveness of a new management intervention model applied at Binh Tan district hospital to improve reporting of MAEs.- Materials and method: We conducted a before - and - after study to assess the impact of the intervention program (6 months observation for before - after intervention). Data was collected from hospital records before the program was implemented and after it was implemented.- Results: 24 MAEs were recorded in the 6 months before the intervention. Nurses did the best MAEs reporting. 79.2% of MAEs was related to condition of working environment - facilities, infrastructure and equipment. The hospital had studied and implemented 3 - axes interventions: providing information - training on patient safety, favorising conditions for MAEs reporting, intervening on cause and remediating consequences. At medical staff data, the percentage of correct knowledge was increased from 23.8% to 73.2%
the percentage of correct behavior was increased from 37.6% to 83.2%. The number of MAEs reported was increased 2,698 times after the intervention.- Conclusion: The study has proposed and evaluated the effectiveness of a new intervention model consisting of 3 axes of activities to improve the MAEs reporting at Binh Tan district hospital. DOI: 10.59715/pntjmp.2.4.7

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