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La seguridad del paciente

Lista elaborada por el Instituto ECRI

Patient safety is a top priority for every healthcare organization, but knowing where to direct initiatives can be daunting. To help organizations decide where to focus their efforts, ECRI Institute has compiled its second annual list of the Top 10 Patient Safety Concerns for Healthcare Organizations.

"This is more than just a list; it's a reminder that, despite the attention given to patient safety over the last 15 years or so, we can do better," says William Marella, MBA, executive director of operations and analytics, ECRI Institute Patient Safety Organization (PSO). "Healthcare providers, regardless of what setting they practice in, can start with our top 10 list of patient safety concerns and use it to guide their own discussions about patient safety and improvement initiatives."

This year's list includes:

1. Alarm hazards: inadequate alarm configuration policies and practices
2. Data integrity: incorrect or missing data in EHRs and other health IT systems
3. Managing patient violence
4. Mix-up of IV lines leading to misadministration of drugs and solutions
5. Care coordination events related to medication reconciliation
6. Failure to conduct independent double checks independently
7. Opioid-related events
8. Inadequate reprocessing of endoscopes and surgical instruments
9. Inadequate patient handoffs related to patient transport
10. Medication errors related to pounds and kilograms

Topping the list is alarm hazards from inadequate configuration policies and practices. In recent years, much of the literature has focused on alarm fatigue—a condition that can lead to alarms missed by providers who are overwhelmed by, distracted by, or desensitized to the multiple alarms that activate.

In this new patient safety concerns list, ECRI Institute encourages healthcare institutions to look beyond alarm fatigue. "In addition to missed alarms that can result from excessive alarm activations, hospitals also have to be concerned about alarms that don't activate when a patient is in distress," says Rob Schluth, senior project officer, ECRI Institute. "In our experience, alarm‐related adverse events—whether they result from missed alarms or from unrecognized alarm conditions—often can be traced to alarm systems that were not configured appropriately."

INFORME COMPLETO EN ESTA DIRECCIÓN : https://www.ecri.org/EmailResources/PSRQ/Top10/2015_Patient_Safety_Top10.pdf 

Obtenido de: https://www.ecri.org/Pages/Top-10-Patient-Safety-Concerns.aspx

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