fa خطاهای پزشکی و عوامل مرتبط با آن در بیمارستان جامع زنان کوثر ارومیه از سال 1403-1400 عمومى General پژوهشي Original <div style="text-align: justify;"><span style="font-size:12pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#1f4e79">زمینه:</span></span></span></span></b> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:.1pt">ایمنی بیمار از مهم‌ترین ابعاد کیفیت مراقبت‌های بهداشتی است و خطاهای پزشکی چالش‌های اصلی نظام سلامت محسوب می‌شوند. این مطالعه خطاهای پزشکی و عوامل مؤثر بر آن را در بیمارستان جامع زنان کوثر ارومیه بررسی کرد</span></span></span></span></span><span lang="AR-DZ" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:.1pt">.</span></span></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#1f4e79">مواد و روش‌ها:</span></span></span></span></b> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d">مطالعه مقطعی تحلیلی بر اساس پرونده‌های ثبت خطاهای پزشکی از فروردین </span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d">۱۴۰۰</span></span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"> تا شهریور </span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d">۱۴۰۳</span></span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"> انجام شد. انواع خطا، مسئولین، شدت و عوامل مرتبط در </span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d">۶</span></span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"> حوزه تحلیل گردید و ارتباط شیفت کاری با ویژگی‌های خطا بررسی شد</span></span></span></span><span lang="AR-DZ" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d">.</span></span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"></span></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#1f4e79">یافته‌ها:</span></span></span></span></b> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">از </span></span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">۱۸۸</span></span></span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt"> خطای گزارش‌ شده، بیشترین فراوانی در سال </span></span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">۱۴۰۱ (۴۵/۲ درصد) </span></span></span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">و شیفت شب (</span></span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">۷۱</span></span></span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt"> مورد) بود. ارتباط معناداری بین نوع/ بخش خطا و شیفت کاری مشاهده شد؛ شیفت شب غالب خطاهای مراقبتی (</span></span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">۴۷/۱ درصد) </span></span></span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">را در زایمان (</span></span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">۵۰ درصد) </span></span></span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">و اورژانس (</span></span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">۴۲/۱ درصد) </span></span></span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">داشت. رزیدنت‌ها </span></span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">۶۶/۵ درصد </span></span></span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">خطاها را مسئول بودند، عوارض موقت (</span></span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">۴۴/۳ درصد) </span></span></span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">شایع‌ترین پیامد و وقایع مراقبتی (</span></span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">۳۴/۶ درصد) </span></span></span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">بیشترین نوع بودند (۰/۰۱=</span></span></span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">P</span></span></span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">)</span></span></span></span></span><span lang="AR-DZ" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">.</span></span></span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt"></span></span></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#1f4e79"><span style="letter-spacing:-.1pt">نتیجه‌گیری:</span></span></span></span></span></b> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">خطاها عمدتاً در شیفت شب، زایمان و اتاق عمل (مراقبتی/ جراحی) متمرکزند و رزیدنت‌ها نقش اصلی دارند. تقویت مدیریت، هماهنگی تیمی و نظارت شیفت شب برای ارتقای ایمنی بیمار ضروری است</span></span></span></span></span><span lang="AR-DZ" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">.</span></span></span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt"></span></span></span></span></span></span></span></span></span></span></div> <div style="text-align: justify;"><span style="font-size:12pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#002060"><span style="letter-spacing:-.1pt">Background:</span></span></span></span></span></b> <span style="font-size:9.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#404040"><span style="letter-spacing:.1pt">Patient safety is one of the most important aspects of healthcare quality, and medical errors are considered to be the main challenges of the health system.</span></span></span></span></span><span style="font-size:9.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#404040"><span style="letter-spacing:-.1pt"></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#002060">Materials and Methods:</span></span></span></span></b> <span style="font-size:9.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#404040"><span style="letter-spacing:-.1pt">This study investigated medical errors and the factors affecting them in Kowsar Women&#39;s General Hospital in Urmia.</span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#002060">Results:</span></span></span></span></b> <span style="font-size:9.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#404040"><span style="letter-spacing:-.1pt">Most of the 188 errors reported occurred in 2022 (45.2%) and during the night shifts (71 cases). A significant relationship was observed between the type/department of error and shift; night shifts had the most care errors (47.1%) followed by delivery (50%) and emergency (42.1%) departments. Residents were responsible for 66.5% of errors, temporary complications (44.3%) were the most common outcome, and care events (34.6%) were the most common type (P=0.01).</span></span></span></span></span><span style="font-size:9.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#404040"></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#002060">Conclusion:</span></span></span></span></b> <span style="font-size:9.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#404040"><span style="letter-spacing:.1pt">Errors mainly occurred during the night shift and at delivery, and operating room (care/surgery) and residents played a major role. Strengthening management, team coordination, and night shift supervision are essential to improve patient safety<b>.</b></span></span></span></span></span><b><span style="font-size:9.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#404040"><span style="letter-spacing:.1pt"></span></span></span></span></span></b></span></span></span></div> ایمنی بیمار, خطاهای پزشکی, شیفت کاری, رزیدنت, بیمارستان زنان Patient safety, Medical errors, Resident, Women's hospital, Urmia 775 784 http://ismj.bpums.ac.ir/browse.php?a_code=A-10-1115-69&slc_lang=fa&sid=1 Somayeh Ghasemzadeh سمیه قاسم‌زاده 5700319475328460018997 5700319475328460018997 No Clinical Research Development Unit, Kowsar Comprehensive Women's Educational and Medical Center, Urmia Uni-versity of Medical Sciences, Urmia, Iran واحد توسعه تحقیقات بالینی مرکز آموزشی درمانی جامع زنان کوثر،دانشگاه علوم پزشکی ارومیه، ارومیه، ایران Yousef Nouri یوسف نوری 5700319475328460018998 5700319475328460018998 No Clinical Research Development Unit, Kowsar Comprehensive Women's Educational and Medical Center, Urmia Uni-versity of Medical Sciences, Urmia, Iran واحد توسعه تحقیقات بالینی مرکز آموزشی درمانی جامع زنان کوثر،دانشگاه علوم پزشکی ارومیه، ارومیه، ایران Fatemeh Nikkhah فاطمه نیک‌خواه fatemenikkhah490@yahoo.com 5700319475328460018999 0009-0004-4270-2729 Yes Clinical Research Development Unit, Kowsar Comprehensive Women's Educational and Medical Center, Urmia Uni-versity of Medical Sciences, Urmia, Iran واحد توسعه تحقیقات بالینی مرکز آموزشی درمانی جامع زنان کوثر،دانشگاه علوم پزشکی ارومیه، ارومیه، ایران