触发工具用于护理不良事件监测的范围综述

A scoping review of trigger tools for monitoring nursing adverse events

目的对触发工具在护理不良事件监测方面的应用现状和效果进行范围综述,为促进触发工具在国内的应用提供参考。方法以乔安娜布里格斯研究所范围综述指南为方法学框架,系统检索PubMed、Web of Science、Embase、Cochrane Library、中国知网、万方数据、维普网及中国生物医学文献数据库中的相关文献,检索时限为建库至2024年5月。结果共纳入21篇文献。主要结局指标为住院患者不良事件发生率、每1000个住院日的不良事件发生率、每100例患者的不良事件发生率;研究对象主要包括一般住院患者、儿科患者、外科患者、急诊患者等;护理不良事件的主要类型有医疗保健相关感染、压力性损伤、跌倒、与输血或使用血液制品相关的不良事件等。结论触发工具是监测护理不良事件的可行方法,但目前在国内的发展仍处于初级阶段,未来应不断扩大研究范围,开发更专业、更高效的触发工具。

Objective To conduct a scoping review of the application status and effect of trigger tools for nursing adverse event monitoring,and to provide reference for promoting the application of trigger tools in China.Methods Using the Joanna Briggs Institute scope review guidelines as the methodological framework,a systematic search for relevant literature was conducted in PubMed,Web of Science,Embase,Cochrane Library,CNKI,Wanfang data,VIP website and the SinoMed from the establishment of the database to May 2024.Results A total of 21 articles were included,the primary outcome indicators were inpatient adverse event rate,adverse events per 1,000 patient days,and Adverse events per 100 admissions;the study subjects mainly included general hospitalized patients,pediatric patients,surgical patients,emergency patients,etc.;the main types of nursing adverse events were healthcare-associated infections,pressure injuries,falls,adverse events related to blood transfusion or use of blood products,etc.Conclusion Trigger tool is a feasible method to monitor nursing adverse event,but the national development is still in its initial stage,the research scope should be continuously expanded to develop more professional and efficient trigger tools in the future.