PDF(Pubmed)
Abstract：
UNASSIGNED: Since 2022, it has been mandatory in Québec to report all incidents and accidents (I&As) occurring in health-care facilities. Since 2011, a summary report of these I&As has been published each year. However, it is difficult to compare health facilities given that no denominator is specified and ratios are not calculated.
UNASSIGNED: The primary objective was to calculate the ratios of total I&As and medication-related I&As per 1000 inpatient-days per type of facility for all health-care facilities in Québec.
UNASSIGNED: This retrospective descriptive study was based on data from the period of April 1, 2016, to March 31, 2021. Data were extracted from the National Register of Incidents and Accidents Occurring during the Provision of Health Care and Social Services in Québec (Registre national des incidents et accidents survenus lors de la prestation des soins et services de santé au Québec) and financial reports. The ratios of total I&As/1000 inpatient-days and medication-related I&As/1000 inpatient-days, expressed as the mean ± standard deviation and median [minimum; maximum], were calculated.
UNASSIGNED: A total of 85 health-care facilities had usable data, specifically 33 acute-care facilities, 45 long-term care facilities, and 7 rehabilitation facilities. The mean ratio for total I&As/1000 inpatient-days varied from 33 ± 19 to 38 ± 22 in acute-care facilities, from 14 ± 5 to 16 ± 7 in long-term care facilities, and from 99 ± 39 to 147 ± 55 in rehabilitation facilities. The mean ratio for medication-related I&As/1000 inpatient-days varied from 11 ± 7 to 12 ± 7 in acute care facilities, from 3 ± 2 to 4 ± 3 in long-term care facilities, and from 24 ± 10 to 40 ± 21 in rehabilitation facilities.
UNASSIGNED: This exploratory study demonstrated the feasibility of calculating I&A ratios from the National Register of Incidents and Accidents Occurring during the Provision of Health Care and Social Services in Québec. These ratios facilitate discussion of the reporting culture of I&As within the health-care system. It is hoped that these ratios will be added to future annual reports from the Québec I&A register.
UNASSIGNED: The primary objective was to calculate the ratios of total I&As and medication-related I&As per 1000 inpatient-days per type of facility for all health-care facilities in Québec.
UNASSIGNED: This retrospective descriptive study was based on data from the period of April 1, 2016, to March 31, 2021. Data were extracted from the National Register of Incidents and Accidents Occurring during the Provision of Health Care and Social Services in Québec (Registre national des incidents et accidents survenus lors de la prestation des soins et services de santé au Québec) and financial reports. The ratios of total I&As/1000 inpatient-days and medication-related I&As/1000 inpatient-days, expressed as the mean ± standard deviation and median [minimum; maximum], were calculated.
UNASSIGNED: A total of 85 health-care facilities had usable data, specifically 33 acute-care facilities, 45 long-term care facilities, and 7 rehabilitation facilities. The mean ratio for total I&As/1000 inpatient-days varied from 33 ± 19 to 38 ± 22 in acute-care facilities, from 14 ± 5 to 16 ± 7 in long-term care facilities, and from 99 ± 39 to 147 ± 55 in rehabilitation facilities. The mean ratio for medication-related I&As/1000 inpatient-days varied from 11 ± 7 to 12 ± 7 in acute care facilities, from 3 ± 2 to 4 ± 3 in long-term care facilities, and from 24 ± 10 to 40 ± 21 in rehabilitation facilities.
UNASSIGNED: This exploratory study demonstrated the feasibility of calculating I&A ratios from the National Register of Incidents and Accidents Occurring during the Provision of Health Care and Social Services in Québec. These ratios facilitate discussion of the reporting culture of I&As within the health-care system. It is hoped that these ratios will be added to future annual reports from the Québec I&A register.
摘要：
■自2022年以来，魁北克强制要求报告在医疗机构中发生的所有事件和事故（I＆A）。自2011年以来，每年都会发布这些I&A的总结报告。然而,鉴于没有指定分母并且没有计算比率，因此很难比较卫生设施。
■主要目标是计算魁北克所有医疗机构每1000个住院天数的总I&A和药物相关I&A的比率。
■这项回顾性描述性研究基于2016年4月1日至2021年3月31日的数据。数据摘自魁北克提供保健和社会服务期间发生的国家事故和事故登记册(魁北克国家事故和事故登记册)和财务报告。总I&As/1000住院天数与药物相关I&As/1000住院天数的比率，表示为平均值±标准偏差和中位数[最小值；最大值]，被计算。
■共有85个医疗机构拥有可用数据，特别是33个急性护理设施，45个长期护理设施，7个康复设施。在急性护理机构中，总I和As/1000住院天数的平均比率从33±19到38±22不等。长期护理设施从14±5到16±7，康复设施从99±39增加到147±55。在急性护理机构中，与药物相关的I&As/1000住院天数的平均比率从11±7到12±7不等。长期护理设施从3±2到4±3，康复设施从24±10到40±21。
■这项探索性研究证明了根据魁北克提供医疗保健和社会服务期间发生的国家事件和事故登记册计算I&A比率的可行性。这些比率有助于讨论卫生保健系统内I和A的报告文化。希望将这些比率添加到魁北克I＆A登记册的未来年度报告中。
■主要目标是计算魁北克所有医疗机构每1000个住院天数的总I&A和药物相关I&A的比率。
■这项回顾性描述性研究基于2016年4月1日至2021年3月31日的数据。数据摘自魁北克提供保健和社会服务期间发生的国家事故和事故登记册(魁北克国家事故和事故登记册)和财务报告。总I&As/1000住院天数与药物相关I&As/1000住院天数的比率，表示为平均值±标准偏差和中位数[最小值；最大值]，被计算。
■共有85个医疗机构拥有可用数据，特别是33个急性护理设施，45个长期护理设施，7个康复设施。在急性护理机构中，总I和As/1000住院天数的平均比率从33±19到38±22不等。长期护理设施从14±5到16±7，康复设施从99±39增加到147±55。在急性护理机构中，与药物相关的I&As/1000住院天数的平均比率从11±7到12±7不等。长期护理设施从3±2到4±3，康复设施从24±10到40±21。
■这项探索性研究证明了根据魁北克提供医疗保健和社会服务期间发生的国家事件和事故登记册计算I&A比率的可行性。这些比率有助于讨论卫生保健系统内I和A的报告文化。希望将这些比率添加到魁北克I＆A登记册的未来年度报告中。
