2019年全球冠状病毒病(COVID-19)大流行需要在全球范围内建立新的医疗保健系统。治疗COVID-19患者的医务人员在极具挑战性和心理要求的情况下履行护理职责,引起人们对其对患者安全的影响的担忧。因此,本研究旨在调查和描述与COVID-19患者相关的事件报告,以阐明COVID-19对患者安全的影响.该研究纳入了大阪三级护理教学医院重症监护中心收治的557名患者的数据,Japan,从2020年4月到2021年3月。将患者分为两组:COVID-19(n=106)和非COVID-19(n=451),并根据各种特征进行比较。事件报告率,以及事件报告的内容。研究结果表明,与非COVID-19组相比,COVID-19组中有事件报告的患者比例明显更高(49.1%vs.24.4%,P<0.001)。此外,定量文本分析显示,主题比例,由“呼吸”组成,\"\"电路,\"\"设置,\"\"连接,\“\”护理,\"\"呼吸机,\"\"控件,\"\"磁带,\"\"Oxylog®,在COVID-19组的事件报告中,“人工鼻”和“人工鼻”明显更高(P=0.003)。总之,COVID-19患者更容易发生不良事件,可能面临更高的患者安全问题风险。涉及COVID-19患者的事件报告中的特征主题主要围绕呼吸机相关问题。在未来,本研究中使用的方法可用于识别事件特征,并在发生未知患者安全问题时采取适当的对策.
The global coronavirus disease 2019 (COVID-19) pandemic has necessitated the establishment of new medical care systems worldwide. Medical staff treating COVID-19 patients perform their care duties in highly challenging and psychologically demanding situations, raising concerns about their impact on patient safety. Therefore, this study aimed to investigate and characterize incident
reports related to COVID-19 patients to clarify the impact of COVID-19 on patient safety. The study included data from 557 patients admitted to the Critical Care Center of a tertiary-care teaching hospital in Osaka, Japan, from April 2020 to March 2021. The patients were divided into two groups: COVID-19 (n = 106) and non-COVID-19 (n = 451) and compared based on various characteristics, incident reporting rates, and the content of incident
reports. The findings indicated a significantly higher rate of patients with incident
reports in the COVID-19 group compared to the non-COVID-19 group (49.1% vs. 24.4%, P < 0.001). In addition, quantitative text analysis revealed that the topic ratio, consisting of \"respiration,\" \"circuit,\" \"settings,\" \"connection,\" \"nursing,\" \"ventilator,\" \"control,\" \"tape,\" \"Oxylog®,\" and \"artificial nose\" was significantly higher in the incident
reports of the COVID-19 group (P = 0.003). In conclusion, COVID-19 patients are more susceptible to adverse incidents and may face a higher risk of patient safety issues. The characteristic topics in incident
reports involving COVID-19 patients primarily revolved around ventilator-related issues. In the future, the methodology used in the current study may be utilized to identify incident characteristics and implement appropriate countermeasures in the event of unknown patient safety issues.