资源描述：
《icu质控综述ppt课件》由会员上传分享，免费在线阅读，更多相关内容在教育资源-天天文库。
1、SafetyandQuality inICU北京市重症医学质量控制和改进中心http://210.75.199.101/mpim/Beijingarea:77ICUunitsin71hospitals44membersuploaddate,34arecompleteSafetyisaglobalconceptEfficiencySecurityReactivitySatisfactionPatientsafetyhasemergedasamajortargetforhealthcareimprov
2、ement.WashingtonDCNationalAcademyPress;2001DataonadverseeventsinhealthcarefromseveralcountriesWorldHealthOrganization,ExecutiveBoard109thsession,provisionalagendaitem3,4,5December2001Patientsintheintensivecareunit(ICU)aremorelikelythanotherhospitalize
3、dpatientstoexperiencemedicalerrors，duetothecomplexityoftheirconditions,needforurgentinterventionsconsiderableworkloadfluctuationIntensiveCareMed2006,32:1591-1598.Design:Observational,prospective,24hourcrosssectionalstudywithselfreportingbystaff.Settin
4、g:113intensivecareunitsin27countries.Participants:1328adultsinintensivecare.Mainoutcome:measuresNumberoferrors;impactoferrors;distributionoferrorcharacteristics;distributionofcontributingandpreventivefactors.Errorsinadministrationofparenteraldrugsin i
5、ntensivecareunitsBMJ2009;338:b814ObservedratesofparenteralmedicationerrorsClassesofdrugsandratesofassociatederrorsBMJ2009;338:b814ErrorswithsubsequentseriousharmbyrespectiveclassofdrugsandtypeoferrorBMJ2009;338:b814Preventionstrategiesmustbedevelopeda
6、ndevaluated.ThekeystodevelopingacultureofpatientsafetyintheICUmustbefound.AnnalsofIntensiveCare2012,2:2structureoutcomeprocessfull-timeavailabilityofintensivecarephysicians“troubleshooting”analysisprocessesImplementprotocolAPACHESAPSSOFAICUQualityThep
7、resentuseofqualityindicatorsinthe intensivecareunitActaAnaesthesiolScand2012;56:1078–1083searchretrievednationalindicatorsfromeightcountries(UnitedKingdom,theNetherlands,Spain,Sweden,Germany,Scotland,AustriaandIndia).Atotalof63QIswereinuse,andnosingle
8、indicatorwascommonforallcountries.Themostfrequentlyusedindicatorwasthestandardisedmortalityrate(SMR)Qualityindicators(QIs)fromtheeightcountriesusedinmorethanonecountryActaAnaesthesiolScand2012;56:1078–1083Theoriginalqualityindicatorsusedineigh
