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En kartläggning över inrapporterade avvikelser inom operationssjukvård mellan åren 2011-2015
Umeå University, Faculty of Medicine, Department of Nursing.
Umeå University, Faculty of Medicine, Department of Nursing.
2015 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
A mapping of reported adverse events within surgical care between the years 2011-2015 (English)
Abstract [sv]

Bakgrund: Globalt inom hälso- och sjukvården skadas årligen tusentals patienter, somliga med dödligt utfall. Majoriteten av dessa skador sker inom den perioperativa vården där operationssjuksköterskan har ett ansvar att minimera risken för att en vårdskada ska uppkomma. En viktig del inom patientsäkerhets- och förbättringsarbetet är avvikelserapportering och detta är således ett viktigt ämne för vidare forskning.

Syfte: Studiens syfte var att kartlägga inrapporterade avvikelser inom operationssjukvård samt att undersöka eventuellt samband mellan tidpunkt och avvikelseområde.

Metod: Kvantitativ retrospektiv registerstudie. Studien innefattar Centraloperation i Skellefteå och Umeå universitetssjukhus samtliga operationsavdelningar. Avvikelserna samlades in via databasen Platina och materialet behandlades med hjälp av SPSS Statistics version 23.

Resultat: Resultatet visade på en signifikant skillnad (p=,000) mellan för- och eftermiddag där förmiddag var vanligast förekommande tidsintervall för inrapportering av avvikelser. De tre vanligaste avvikelseområdena representerades av: Vård och rehabilitering, kommunikation och medicinsk teknik-produkt. Av de totalt 1621 inrapporterade avvikelserna så visade inte resultatet på något signifikant samband mellan tidsintervall och avvikelseområde. Ortopedoperation i Umeå var den klinik där de flesta avvikelser var inrapporterade samt den mest avvikelsefrekventa dagen var onsdag.

Slutsats: En signifikant skillnad förelåg mellan antalet inrapporterade avvikelser under för- och eftermiddagar, med förmiddagar som mest frekvent. Inget signifikant samband kunde påvisas mellan tidsintervall och avvikelseområde, dock belyser båda resultaten trender i verksamheten som ur ett patientsäkerhetsperspektiv är av värde för vidare forskning.

Abstract [en]

Background: Globally within the health care system thousands of patients get injured annually, some with a deadly outcome. The majority of these injuries occur in the perioperative care, where the theatre nurse plays an important role in patient safety. An important part within patient safety and work enhancement is adverse event (AE) reporting and therefore makes it an important topic for further research.

Objective: The aim of the study was to map reported AE’s in surgical care and to examine possible correlations between time and AE area.

Method: Quantitative retrospective registry study. The study includes Central Operation in Skellefteå and Umeå University Hospital’s all surgical departments. The AE’s were collected through the database Platina and the material was processed with the help of SPSS Statistics version 23.

Findings: The results showed a significant difference (p=,000) between morning and afternoon where morning was the most frequent. The three most common areas of AE's were represented by: Care and rehabilitation, communications and medical technology-product. Out of the total 1621 reported AE's the result showed no significant correlation between time interval and AE area. Orthopaedic surgery in Umeå was the clinic were the most AE’s was reported and the most AE frequent day was Wednesday.

Conclusion: A significant difference between the numbers of reported AE's during mornings and afternoons was present, with mornings being the most frequent. No significant correlation could be found between the time interval and the AE area, both results however highlight trends in the business which from a patient safety perspective is of valuable for further research.

Place, publisher, year, edition, pages
2015. , 23 p.
Keyword [en]
Sweden, patient safety, registry study, adverse events, iatrogenesis, perioperative care, nursing, surgery, hospital, reporting.
Keyword [sv]
Sverige, patientsäkerhet, registerstudie, avvikelser, vårdskada, perioperativ vård, omvårdnad, operation, sjukhus, rapportering.
National Category
Nursing
Identifiers
URN: urn:nbn:se:umu:diva-116801OAI: oai:DiVA.org:umu-116801DiVA: diva2:902652
Educational program
Graduate Programme in Operating Room Nursing
Supervisors
Available from: 2016-02-29 Created: 2016-02-11 Last updated: 2016-02-29Bibliographically approved

Open Access in DiVA

Hedlund, L. & Hultebrand, M. (2015). En kartläggning över inrapporterade avvikelser inom operationssjukvård mellan åren 2011-2015(525 kB)159 downloads
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Type fulltextMimetype application/pdf

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