Abstracts from the 4th Grazer Risk Day: Patient Safety in Routine

نویسندگان

  • Magdalena M. Hoffmann
  • Anna K. Holl
  • Harald Burgsteiner
  • Thomas Pieber
  • Philipp Eller
  • Karin Amrein
چکیده

s from the 4th Grazer Risk Day: Patient Safety in Routine Graz, Austria. 21/09/2016 Published: 20 September 2016 Table 1 (A1). Results-Top 5 Relatives Doctor Nurse Facebook TOPIC Rank Mean Rank Mean Rank Mean Rank Mean Crisis (e.g. blood pressure , delir...) 1 4,9 25 3,88 22 3,95 23 4,14 My help (e.g. participate actively...) 2 4,84 11 4,5 16 4,1 11 4,47 Hospital germs (e.g. hands disinfection, isolation...) 3 4,71 18 4,15 21 3,98 8 4,52 Pain (e.g. Treatment...) 4 4,7 11 4,5 6 4,59 6 4,57 Probabilities, assumptions (e.g. Discharge...) 5 4,67 15 4,35 19 4,02 20 4,26 A1 Meet the needs: Important questions for ICU relatives Magdalena M. Hoffmann, Anna K. Holl, Harald Burgsteiner, Thomas Pieber, Philipp Eller, Karin Amrein Division of Endocrinology and Diabetology, Department of Internal Medicine, Medical University of Graz, Graz, Austria; Department of Quality and Risk Management, University Hospital Graz, Graz, Austria; Department of Psychiatry, Medical University of Graz, Graz, Austria; Department of Health Informatics and E-Health, FH JOANNEUM, University of Applied Science Graz, Graz, Austria; Joanneum Research, Institute HEALTH, Graz, Austria; Intensive Care Unit, Department of Internal Medicine, Medical University of Graz, Styria, Austria Correspondence: Magdalena M. Hoffmann ([email protected]) Division of Endocrinology and Diabetology, Department of Internal Medicine, Medical University of Graz, Graz, Austria Safety in Health 2016, 2(Suppl 1):A1 Background Relatives in intensive care units (ICUs) are important partners in the decision-making process on the treatment of critically ill patients and provide a significant resource in the care and rehabilitation of patients [1]. Symptoms of anxiety, stress and depression are common in affected relatives who often face excessive demands [2]. The majority of family members report some level of anxiety, depression and stress [3], sometimes even resulting in post-traumatic stress disorder (PTSD). Importantly, an association between lack of information and PTSD has been reported [4]. It is therefore critical to provide accessible and sufficient information to meet the needs of families [5]. Consequently, we surveyed relatives about their information needs. The survey results form the basis of a randomized controlled trial. Material and methods Based on a questionnaire of Peigne et al. 2011 among ICU professionals and relatives we asked (N = 336) people (relatives, nurses, doctors, members of an ICU related group on the social network facebook) for their opinion. The questions could be ranked on a scale of 1 for ‘not important’ to 5 for ‘very important’, with 0 signifying ‘not interesting at all’. Results The assessment of the importance of the topic differed between all groups (Table 1). The top five topics for relatives were ‘crisis’, ‘my help’, ‘hospital germs’, ‘pain’ and ‘probabilities and assumptions’. Conclusions We noted significant discrepancies with regard to the prioritization of topics. Therefore, there is a high risk for inadäquate information. None of the top five topics for relatives featured among the top five (as well as ten) topics for doctors. Similarly, important topics for nurses and carers only minimally overlapped with those of relatives. This shows that ICU staff views on the importance of topics differ notably from those of relatives. These insights could be taken into account and used for structuring conversations with relatives, with potentially high impact. © 2016 The Author(s). Open Access This artic International License (http://creativecommons reproduction in any medium, provided you g the Creative Commons license, and indicate if (http://creativecommons.org/publicdomain/ze The results present the basis for a continuing double-blind randomized study testing the impact on stress, anxiety and depression among relatives of information made available online.

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تاریخ انتشار 2016