Patientsäkerhet under interhospitala transporter – Lärdomar från Lex Maria-anmälningar

Detta är en Magister-uppsats från

Sammanfattning: Background: Today there is an increase in National Medical Care in Sweden and the numberof interhospital transports have thus gradually increased. The increased specialization of careand lack of beds means that critically ill patients must be moved between different hospitalsto recieve appropriate treatment. Patient safety during interhospital transports is threatened bya variety of complications, for example inadequate drug administration or faulty medicaldevices.Objective: The aim of the study is through using Lex Maria-cases, in the areas of medicaldevices and inadequate drug administration, identify risk factors that may affect the patientsafety during interhospital transports.Method: The study is qualitative and based on Lex Maria-cases in the areas of medicaldevices and drug administration, who been analyzed according to a qualitative contentanalysis.Results: The result of the study is based on 11 Lex-Maria cases in the areas of medicaldevices and 34 Lex Maria-cases of inadequate drug admininistration. Risk factors who wereidentified and categorized from the analysis were; technical problems with medical devices,inadequate drug administration, lack of communication, inadequate procedures and workenvironment.Conclusion: Interhospital transports involves a complex high-risk environment with manyrisk factors. The identified risk factors in the study may very likely also affect patient safetyduring interhospital transports, since all risk elements also are found in these. To avoid theserisks requires careful planning, back-up plans and experience and knowledge of theaccompanying personnel.

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