TGN1412事件とケアバンドル(1) - 地域医療日誌 by COMETにつづきます。



  TGN1412事件やNorthwick Park病院のことを知り、もう一度ケアバンドルは院内死亡率をへらす(1)で取り上げたBMJの論文を読み返してみました。


Robb E, Jarman B, Suntharalingam G, Higgens C, Tennant R, Elcock K. Using care bundles to reduce in-hospital mortality: quantitative survey. BMJ. 2010 Mar 31;340:c1234. doi: 10.1136/bmj.c1234. PubMed PMID: 20360220.

  The North West London Hospitals NHS Trust serves a population of about 500 000. The trust received adverse media coverage following the Healthcare Commission’s report on its maternity services in July 2005 and in March and April 2006 regarding a drug trial at Northwick Park Hospital in which six men developed organ failure. Both stories had an impact on staff morale and on patients’ perceptions of Northwick Park Hospital. The HSMR for the trust for 2006-7 was 84.6, 15.4 points below the national value. We initiated a scheme aimed at reducing mortality rates and increasing public confidence in the quality of patient care.





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