{"id":240919,"date":"2024-09-20T16:15:41","date_gmt":"2024-09-20T14:15:41","guid":{"rendered":"https:\/\/www.prosunt.si\/prosunt-2-2-2\/?page_id=240919"},"modified":"2024-09-20T16:32:15","modified_gmt":"2024-09-20T14:32:15","slug":"varnost-pacientov-2-2-2","status":"publish","type":"page","link":"https:\/\/www.prosunt.si\/prosunt-2-2-2\/varnost-pacientov-2-2-2\/","title":{"rendered":"Varnostne katastrofe"},"content":{"rendered":"<p><div class=\"et_d4_element et_pb_section et_pb_section_0 et_pb_with_background  et_pb_css_mix_blend_mode et_section_regular et_block_section\" >\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div><div class=\"et_d4_element et_pb_section et_pb_section_1  et_pb_css_mix_blend_mode et_section_regular et_block_section\" >\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_d4_element et_pb_row et_pb_row_0  et_pb_css_mix_blend_mode et_block_row\">\n\t\t\t\t<div class=\"et_d4_element et_pb_column_4_4 et_pb_column et_pb_column_0  et_pb_css_mix_blend_mode et-last-child et_block_column\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_module et_d4_element et_pb_text et_pb_text_0  et_pb_text_align_left et_pb_bg_layout_light\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_text_inner\"><p style=\"text-align: center;\">POSVETILO<\/p><\/div>\n\t\t\t<\/div><div class=\"et_pb_module et_d4_element et_pb_text et_pb_text_1  et_pb_text_align_left et_pb_bg_layout_light\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_text_inner\"><p>V spomin na paciente, ki so izgubili \u017eivljenje ali utrpeli \u0161kodo, pri zdravstveni obravnavi \u00a0ki bi se ji lahko izognili. Naj bo ta listina svetilnik upanja in zaveze, ki zagotavlja, da bo pravica vsakega pacienta do varne oskrbe za\u0161\u010ditena ter da bo njihov glas sli\u0161an in cenjen.<\/p>\n<p>Naj bo ta listina svetilnik upanja in zaveze, ki zagotavlja, da bo pravica vsakega pacienta do varne oskrbe za\u0161\u010ditena ter da bo njihov glas sli\u0161an in cenjen.<\/p><\/div>\n\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div><div class=\"et_d4_element et_pb_section et_pb_section_2  et_pb_css_mix_blend_mode et_section_regular et_block_section\" >\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_d4_element et_pb_row et_pb_row_1  et_pb_css_mix_blend_mode et_block_row\">\n\t\t\t\t<div class=\"et_d4_element et_pb_column_4_4 et_pb_column et_pb_column_1  et_pb_css_mix_blend_mode et-last-child et_block_column\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_module et_d4_element et_pb_text et_pb_text_2  et_pb_text_align_left et_pb_bg_layout_light\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_text_inner\"><h2>The Department of Pediatric Cardiac Surgery at Univerziteni klini\u010dni center Ljubljana, Republic of Slovenia: Audit report 2007-2014-EN<\/h2>\n<p>&nbsp;<\/p><\/div>\n\t\t\t<\/div><div class=\"et_pb_module et_d4_element et_pb_text et_pb_text_3  et_pb_text_align_left et_pb_bg_layout_light\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div><div class=\"et_pb_module et_d4_element et_pb_image et_pb_image_0\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<span class=\"et_pb_image_wrap \"><img loading=\"lazy\" decoding=\"async\" width=\"806\" height=\"483\" src=\"https:\/\/www.prosunt.si\/content\/uploads\/2020\/06\/UKC-Lj.jpeg\" alt=\"\" title=\"UKC Lj\" srcset=\"https:\/\/www.prosunt.si\/content\/uploads\/2020\/06\/UKC-Lj.jpeg 806w, https:\/\/www.prosunt.si\/content\/uploads\/2020\/06\/UKC-Lj-300x180.jpeg 300w\" sizes=\"(max-width: 806px) 100vw, 806px\" class=\"wp-image-231350\" \/><\/span>\n\t\t\t<\/div><div class=\"et_pb_button_module_wrapper et_pb_button_0_wrapper et_pb_button_alignment_center et_pb_module \">\n\t\t\t\t<a class=\"et_pb_button et_d4_element et_pb_button_0 et_pb_bg_layout_light et_block_module\" href=\"https:\/\/www.prosunt.si\/content\/uploads\/2020\/06\/15-07-11-The-DPCS-at-UKC-Ljubljana-Audit-Report-for-2007-2014.pdf\" target=\"_blank\" data-icon=\"=\">Poro\u010dilo<\/a>\n\t\t\t<\/div><div class=\"et_pb_module et_d4_element et_pb_text et_pb_text_4  et_pb_text_align_left et_pb_bg_layout_light\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_text_inner\"><h1>Celjski primer -\u00a0Poro\u010dilo o zaostankih izvidov na patomorfolo\u0161kem\u00a0 \u00a0in citolo\u0161kem oddelku Splo\u0161ne bolni\u0161nice Celje<\/h1>\n<p><a href=\"https:\/\/www.prosunt.si\/content\/uploads\/2018\/12\/CELJSKI__PRIMER.pdf\"><span style=\"font-size: 16px;\"><\/span><\/a><\/p>\n<p><span>Ministrstvo za zdravje je v obdobju od oktobra 2002 do maja 2003 opravilo upravni nadzor v Splo\u0161ni bolni\u0161nici Celje v zvezi z nepregledanimi histolo\u0161kimi preparati. To je eden najve\u010djih \u0161kandalov v slovenskem zdravstvu v zadnjih letih. <\/span><\/p>\n<p><span>\u00a0<\/span><span style=\"font-size: large;\"><strong>Poro\u010dilo nadzora pa ne zajema samo problemov v Celjski bolni\u0161nici, temve\u010d\u00a0opozarja na probleme kakovosti zdravstvene oskrbe v Sloveniji.<\/strong><\/span><\/p>\n<p>&nbsp;<\/p><\/div>\n\t\t\t<\/div><div class=\"et_pb_module et_d4_element et_pb_image et_pb_image_1\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<span class=\"et_pb_image_wrap \"><img loading=\"lazy\" decoding=\"async\" width=\"768\" height=\"512\" src=\"https:\/\/www.prosunt.si\/content\/uploads\/2020\/06\/bolnisnica-celje.png\" alt=\"\" title=\"bolnisnica-celje\" srcset=\"https:\/\/www.prosunt.si\/content\/uploads\/2020\/06\/bolnisnica-celje.png 768w, https:\/\/www.prosunt.si\/content\/uploads\/2020\/06\/bolnisnica-celje-480x320.png 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) 768px, 100vw\" class=\"wp-image-231345\" \/><\/span>\n\t\t\t<\/div><div class=\"et_pb_button_module_wrapper et_pb_button_1_wrapper et_pb_button_alignment_center et_pb_module \">\n\t\t\t\t<a class=\"et_pb_button et_d4_element et_pb_button_1 et_pb_bg_layout_light et_block_module\" href=\"https:\/\/www.prosunt.si\/content\/uploads\/2020\/06\/CELJSKI__PRIMER.pdf\" target=\"_blank\" data-icon=\"&#x3d;\">Poro\u010dilo<\/a>\n\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div><div class=\"et_d4_element et_pb_section et_pb_section_3 et_pb_with_background  et_pb_css_mix_blend_mode et_section_regular et_block_section\" >\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"open","template":"page-template-blank.php","meta":{"_crdt_document":"","_et_pb_use_builder":"on","_et_pb_old_content":"<h2><span style=\"color: #3366ff;\"><strong>Edino sprejemljivo \u0161tevilo \u0161kode za paciente zaradi prepre\u010dljivih napak je NI\u010c<\/strong>.<\/span><\/h2>\r\n<p style=\"text-align: justify;\">Dokazano je,\u00a0 da nam\u00a0 zdravstvena oskrba\u00a0 prinese ogromne koristi za na\u0161e zdravje, a napake pri njenem izvajanju \u00a0se dogajajo prepogosto in pacienti velikokrat utrpijo \u0161kodo za zdravje.<\/p>\r\n<p style=\"text-align: justify;\">Varnost pacientov je odsotnost za paciente nepotrebne \u0161kode ali potencialne \u0161kode v zvezi z zdravstveno obravnavo. Pomeni izogibanje, prepre\u010devanje in omilitev \u0161kodljivih izidov ali po\u0161kodb izvirajo\u010dih iz procesov zdravstvene obravnave. Zagotavljanje varnosti pacientov vklju\u010duje zasnovo delovnih sistemov in procesov, ki zmanj\u0161ajo na najni\u017ejo mo\u017eno mero mo\u017enost nastanka napak in zve\u010dajo do najvi\u0161je mo\u017ene mere mo\u017enost prestreganja napak, ko se te zgodijo.<\/p>\r\n\r\n<ul style=\"text-align: justify;\">\r\n\t<li>Pri 3-letnem de\u010dku so operirali napa\u010dno roko.<\/li>\r\n\t<li>Otrok je umrl zaradi napa\u010dne diagnoze.<\/li>\r\n\t<li>78-letna pacientka je padla s preiskovalne mize. Zlomila si je kolk. Bila je operirana. Po operaciji je dobila plju\u010dnico in umrla.<\/li>\r\n\t<li>Pacient izkrvavel v plevralno votlino po diagnosti\u010dni punkciji.<\/li>\r\n<\/ul>\r\n<p style=\"text-align: justify;\">\u0160tudije ka\u017eejo, da vsak deseti pacient, ki se zdravi v akutni bolni\u0161nici utrpi \u0161kodo za svoje zdravje zaradi \u0161kodljivega dogodka. Pribli\u017eno vsak 1000 zaradi tega umre.<\/p>\r\n<p style=\"text-align: justify;\">Izbolj\u0161evanje varnosti pacientov je te\u017eko delo. Ne gre samo za uporabo metod in orodij za varno zdravstveno obravnavo, najpomembnej\u0161a je sprememba kulture. Disfunkcijska ali celo patolo\u0161ka kultura je tista, ki ne dovoljuje sprememb. Prevladuje sindrom ranljivega sistema, ki onemogo\u010da izbolj\u0161ave na podro\u010dju kakovosti zdravstvene obravnave in varnosti pacientov.\u00a0 V zadnjih 50 letih je pri\u0161lo do ogromnega napredka zdravstvenih tehnologij, ki so prispevale k uspe\u0161nosti zdravljenja in obenem tudi do vedno ve\u010dje kompleksnosti. Na \u017ealost temu niso sledile spremembe kulture. Mnogi v zdravstvu se \u0161e kar naprej dr\u017eijo modela iz devetnajstega stoletja: pretirane\u00a0 hierarhije, neodgovorne avtonomnosti, statusa in privilegijev, ki slu\u017eijo predvsem njim, a mnogo manj njihovim pacientom.<\/p>\r\n<p style=\"text-align: justify;\">Vzpostavitev sistema varnosti v zdravstvenih ustanovah zahteva graditev kulture varnosti, vzpostavitev strategije in akcijskih na\u010drtov, vzpostavljanje merljivih ciljev in uporabo orodij kot so sporo\u010danje napak, analiza osnovnih vzrokov za napake, analiza mo\u017enih vzrokov in njihovih posledic, razkritje napake pacientu in opravi\u010dilo, izobra\u017eevanje in usposabljanje\u00a0 osebja in\u00a0 zavzetost vodstva z dodeljevanjem potrebnih virov.<\/p>","_et_gb_content_width":"","footnotes":""},"class_list":["post-240919","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Varnostne katastrofe - 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