On March 13, institute of medicine of American emergency treatment (ECRI) the website was released " 10 big patients are safe 2019 problem " year report, this report is listed problem of 10 patients safety, point out medical treatment defends life form to should take these problems seriously, give out the referenced plan that solves these problems.

"Rose 2009, ECRI begins to collect event of patient safety problem, so far, this orgnaization already received more than 2.8 million reports. ECRI goes out in report middle finger, what its list is not the most frequent or the most serious patient safety problem, however should by preferential attention problem. However should by preferential attention problem..

The diagnosis of electronic anamnesis be caused by and examination result manage a problem

ECRI points out, support of a lot of system of anamnesis of electron of medical establishment support are clinical and decision-making and dog examination result, but they should realize, anamnesis system is the one part of process of patient go to a doctor only.

Give attention to two or morethings of ECRI senior analyst asks Patricia Stahura expresses, must be clear about in electronic anamnesis system state diagnose, cure plans and follow seek a plan, so that other need examines an electron,the doctor of anamnesis can understand. If appear among them information mistake or be short of break, with respect to very incidental diagnostic mistake.

Doctor hold course of study and aged the antibacterial in the service thing government issue

ECRI points out, a few needless use antibiotic, bring about antibiotic possibly not only be able to bear or endure property of a medicine, still can bring this avoidable medicaments to the patient harmful response.

Precaution of ECRI advanced infection and patient safety analyse proposal of advisory Sharon Bradley, when the patient that whether the doctor suits to accepting treatment in affirmatory antibiotic, need a consideration the following 4 problems: (1) can the infection of this patient produce reaction to antibiotic? (2) if meet, whether was the patient used right dosage the antibiotic with what give medical way. (3) whether can you use the antibiosis always that has specific aim more to treat infection (demote) ? (4) the period of treatment of patient use antibiotic?

Sharon Bradley emphasizes: "Our target is, although the doctor does not have the prescription that opens antibiotic to the patient, also should let a patient feel he got make a diagnosis and give treatment is mixed take care of. Antibiotic manages and do not mean stop necessary cure, however clever use antibiotic. However clever use antibiotic..

The profession is listless the issue that reachs its to be affected to patient safety

2019, medcape faces 15000 doctors of more than 29 major, investigated about doctor profession listless, depressed condition. 2019 Medscape reports in, 44% doctors feel listless; 11% doctors have go up popularly those who tell is depressed; 4% already have clinical those who diagnose is depressed.

The profession that cure protects is listless the condition that is the exhaustion of body and mind that points to because of the did not solve for a long time pressure on the job generation and exhaust, produce extreme reaction then, cannot be competent gradually the job. This kind of condition affects clinician, nurse to wait not only, still can endanger medical establishment itself. Study the result discovers, the doctor's profession is listless show negative to close with patient safety and medical treatment quality.

ECRI report points out, decide cure protects the first order that needs the work that do afresh, it is to reduce one of listless methods, medical treatment superintendency branch must listen to medical establishment to be mixed to standard of working load, performance second actor the misgive of resource allocation, solve these problems in decision-making layer.

The patient safety issue that mobile medical treatment brings

ECRI emphasizes, the long-range supervisory equipment that has communication through smartphone or computer and medical establishment causes patient safety problem easily, basically include new technology to superintend be short of break, ensure medical establishment is accurate hard receive data, and the possibility that the patient is used not correctly or does not use these technologies.

The report says, a lot of equipment detect without American food and medicaments management board release. Accordingly, medical treatment superintendency branch must ensure the security that recommends equipment to the patient and effectiveness, ensure this equipment can work normally when the patient leaves medical establishment; Decide mobile iatrical suits a crowd, offer for medical establishment and patient relevant groom.

Those who reduce mental health cure to bring is unwell

ECRI report points out, put in the patient of invigorative healthy demand in each medical establishment, but medical establishment does not realise this is nodded certainly, perhaps say to did not have proper treatment to these patients.

ECRI suggests to undertake attestation grooms, or undertake what lead by expert or adviser groom, establish seminar of emergency treatment of community behavior health, or these a few kinds of forms union rises. In addition, medical establishment still should use community resource as far as possible.

The illness that realizes a patient changes

In ignoring a patient to treat a process, the illness change of any link is breakneck. This one problem is turning during examine particularly serious, this is to turn when examine around medical establishment is communicated appear the most easily the link of the problem.

Keep good between medical establishment communicate particularly important. ECRI points out, be in a hospital, medical personnel needs to groom how to operate the facility that monitor, can make to alarm answer in time.

Of medical personnel skill groom and rise

The report points out, if medical personnel uses inexperience of medical treatment equipment or technological process of not familiar medical establishment, may cause harm to the patient.

ECRI ever received the many reports that because medical personnel is not familiar,transfer pump, robot assists the equipment such as operation system to bring about undesirable incident.

ECRI suggests to undertake to medical personnel strict imitate trains. The report emphasizes, imitate trains namely the life setting with true imitate, cost inferior cost to offer the opportunity that practices mastery of a skill or technique for medical personnel, and won't cause immediate harm to the patient.

Of purulent poisonous disease inchoate diagnose

Purulent poisonous disease is aware of very hard, if cannot identify purulent poisonous disease as early as possible, can endanger patient life. Although be in emergency call, purulent poisonous disease already got enough take seriously, but treat change to outpatient service from hospitalization as medical treatment service, be treated in outpatient service and purulent poisonous disease identifies to become in senile service orgnaization particularly important.

Advisory James Davis represents control of ECRI advanced infection and patient security, in whole cure process, cure protects personnel must can identify purulent poisonous disease, acceptability use sieve checks the nurse assistant that passes attestation for example of the tool groom, the doctor can sift disease of the poison that check pus in checking room and phone, imitate and skill exercise also can help poisonous illness of pus of medical personnel identifying.

Outside the infection problem of be caused by of week vein conduit

Week vein conduit is the commonly used conduit in medical treatment outside, enter for patient buy when be admitted to hospital normally, so that vein inject treatment has during be in hospital. During cure, patient skin has damaged a bit, have the risk that produces infection. Sometimes, a few patients are likely vein of the week outside needing is tracheal, medical personnel also can be entered for patient buy.

James Davis expresses, medical personnel often the security of conduit of vein of the week outside overmeasure, improve the knowledge that affects related week vein conduit external, those who add convention is active monitor and follow visit a report, can help reduce infection risk. In addition, medical personnel is entered in buy outside need to evaluate a patient to whether need this kind to deal with really before week vein is tracheal.

The security that enhances large and wholesome system works

The development as wholesome system and patulous, a few medical establishment are being become " national large and wholesome system " , evolve when this kind when happening, "How to put patient safety in the first place? " become the problem that solves urgently. Of patient safety problem appear in the newspaper to increase more order with the executive meeting of the safety precaution, occurrence accident of intermediate either link can affect patient safety.

ECRI proposal, large and wholesome system establishs patient safety to organize (PSO) , aim to assist unified managing all medical establishment inside this system. PSO can adopt the fluctuation form that communication instruction implements, establish organizes frame clearly, make unified strategy plan to wait with executive plan, reduce a system inside abhorrent.