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Проучване мнението на медицинските специалисти относно управлението на рискови случаи в болнични отделения

Мариана Белова, Любомира Kоева-Димитрова

Abstract

Introduction: To increase patient safety, not only is the analysis of mistakes needed, but also the timely identification, registration, analysis and management of emerging risk cases and critical incidents that could lead to errors.

Aim: The purpose of the study is to present the results of a survey conducted on the opinion of various medical specialists on the factors responsible for risk cases and mistakes in their medical practice.

Materials and Methods: We have used scientific publications on risk-recording systems, and patient safety; developed questionnaire; opinion of doctors, nurses, midwives working in different wards of hospitals in Varna. The methods used are: content analysis, statistical methods, and sociological methods.

Results: Poor working conditions and inability to work in a team are among the most frequently cited reasons for critical incidents that can lead to mistakes. Overwhelming conditions, stress and the lack of sufficient staff are also considered important factors for admission of risk cases. Collaboration and good communication at all levels are also important to managing risk cases and minimizing critical incidents, according to the medical professionals. Years of experience contribute to the minimization of mistakes during work, but the fear of change can lead to a lack of sharing among colleagues, and this has a negative impact on risk management.

Conclusion: Safe medical care is a priority in the studied wards. The timely identification, registration and analysis of risk cases that can lead to a serious incident reduce the probability of their admission again. The introduction of a modern system for reporting and analyzing critical incidents would significantly improve the management of risk cases as well as patient safety. This will improve the quality of work in the wards and the prestige of the medical establishment.


Keywords

risk factors; critical incident; risk management; patient safety; medical mistakes

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