{"id":2050,"date":"2016-05-11T18:49:21","date_gmt":"2016-05-11T16:49:21","guid":{"rendered":"http:\/\/www.prosunt.si\/?page_id=2050"},"modified":"2019-08-25T16:31:13","modified_gmt":"2019-08-25T14:31:13","slug":"zda","status":"publish","type":"post","link":"https:\/\/www.prosunt.si\/prosunt-2-2-2\/zda\/","title":{"rendered":"Saj to se godi samo v ZDA, ali ne?"},"content":{"rendered":"
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Saj to se godi samo v ZDA, ali ne?<\/h2>\n

Primer iz ZDA: Mlada \u017eenska \u00a0je dobro okrevala \u00a0po uspe\u0161ni presaditvi srca, vendar je bila ponovno sprejeta zaradi \u00a0nejasnih simptomov. Napravili so vrsto preiskav od katerih so bile \u00a0nekatere nepotrebne, vklju\u010dno s perikardiocentezo. \u00a0Iz bolni\u0161nice so jo odpustili. \u010cez nekaj dni je bila ponovno hospitalizirana zaradi abdominalne krvavitve in sr\u010dnega zastoja.\u00a0 Obdukcija je pokazala, da je igla med perikardiocentezo \u00a0zadela jetra \u00a0in povzro\u010dila pseudoaneurizmo, ki je nato po\u010dila\u00a0 in pri\u0161lo je do smrti. Vzrok smrti na mrli\u0161kem listu je bila kardiovaskularna bolezen.<\/span><\/p>\n

S takim zapisom na mrli\u0161ke liste je statistika o vzrokih smrti nenatan\u010dna, kar ima za posledico, da smrti zaradi napak sploh ni na seznamu vzrokov smrti in da so \u0161tevilke pri nekaterih smrtih nezanesljive.\u00a0 Desna zgornja slika ka\u017ee vzroke smrti v Sloveniji v letu 2007 (vir NIJZ). V Sloveniji nimamo podatkov o tem kako velik je problem smrti zaradi napak, ker je bila na\u010drtovana raziskava zaustavljena iz \u00bbneznanih\u00ab razlogov. V ZDA so bile za\u010detne ocene na podlagi nekaterih raziskav med 44. 000 in 98.000 smrti na leto v bolni\u0161nicah (1). Slovenski mediji so pred nedavnim objavili \u0161tevilke iz raziskave o velikosti problem asmrti zaradi napak v ZDA, ki so jih povzeli iz tujih medijev in ti iz \u010dlanka o tretjem vzroku smrtnosti v (2). Pregled literature v letu 2013<\/a> je pokazal razpon 210.000 do 400.000 smrtnih primerov na leto zaradi napak ekstrapolirano na \u0161tevilo hospitaliziranih pacientov na leto (3). \u0160tevilka, ki je bila pred meseci objavljena v slovenskih medijih \u2013 1000 smrti na leto v slovenskih bolni\u0161nicah, ni pripeljala do resnega razmisleka o tem kako varnost pacientov izbolj\u0161ati, pa\u010d pa so se zgodili nekateri neuspe\u0161ni poskusi, da se o tem ne bi ve\u010d govorilo. O tem, da je \u0161tevilka pretirana\u00a0 se tisti, ki se s tem niso strinjali tudi niso potrudili, da bi si prebrali nekaj raziskav o tem javnozdravstvenem problemu.
<\/span><\/p>\n

Ali lahko Center za izbolj\u0161evanje kakovosti in varnosti pomaga pri izbolj\u0161evanju varnosti? Seveda lahko, a zato mora biti volja s strani vodstev bolni\u0161nic.<\/span><\/p>\n

    \n
  1. Kohn LT, Corrigan JM, Donaldson MS. To err is human: building a safer health system. National Academies Press, 1999.<\/span><\/li>\n
  2. Martin A Makary \u00a0MA, Michael M. Medical error\u2014the third leading cause of death in theBMJ 2016;353:i2139 doi: 10.1136\/bmj.i2139.<\/span><\/li>\n
  3. James JTA. A new, evidence-based estimate of patient harms associated with hospital. care. J Patient Saf 2013;9:122-8.<\/span><\/li>\n<\/ol><\/div>\n\t\t\t<\/div>\n\t\t\t<\/div>
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    \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\"Kriminalizacija<\/span>\n\t\t\t<\/div>
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    Kriminalizacija \u010dlove\u0161kih napak v zdravstvu je eden izmed najbolj \u0161kodljivih razlogov, da se varnost pacientov v Sloveniji ne izbolj\u0161uje.<\/span><\/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>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":223735,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[3],"tags":[],"class_list":["post-2050","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-varnost-pacientov"],"yoast_head":"\nSaj to se godi samo v ZDA, ali ne? - https:\/\/www.prosunt.si\/prosunt-2-2-2<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.prosunt.si\/prosunt-2-2-2\/zda\/\" \/>\n<meta property=\"og:locale\" content=\"sl_SI\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Saj to se godi samo v ZDA, ali ne? 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