Abstract:

Objective We searched,evaluated and integrated the best evidence of patients’ identification,so as to provide bases for formulating the management standards of patients’ identification. Methods According to the "6S" model,we used the evidence-based nursing method to search the relevant literature. Johns Hopkins evidence classification system was used to grade the evidence,and we also used AGREEⅡ（2017 version） and JBI evidence-based health care center’s document quality evaluation standard and evidence recommendation system（2014 version） to evaluate the quality of various studies and the level of evidence recommendations. Results A total of 23 articles were included,including 3 guidelines,1 clinical decision-making,8 expert consensuses,4 recommended practices,3 evidence summaries,1 systematic evaluation,2 government reports and 1 hospital standard. Finally,42 pieces of best evidence are summarized. Conclusion The leaderships of medical institutions should manage the patients’ identification scientifically according to the actual conditions of different places and hospitals. They should focus on controlling the timing of identification,strengthening the management of special groups and strengthening the quality control. Meantime,the application personnel also need to continuously update the evidence to improve the hospital safety management by applying the best evidence.

Key words: Patient Safety, Identification, Evidence-Based Nursing, Nursing Administration Research

摘要：

目的 检索、评价、整合患者身份识别的最佳证据,为制订患者身份识别管理规范提供依据。 方法 应用循证护理方法,按照“6S”模型检索相关文献,文献检索时限为建库至2020年9月25日。采用约翰霍普金斯大学研究证据分级标准（2015）年进行证据分级,采用2017版临床指南研究与评价系统（Appraisal of Guidelines for Research and Evaluation Instrument Ⅱ,AGREE Ⅱ）、澳大利亚乔安娜布里格斯研究所（Joanna Briggs Institute,JBI）循证卫生保健中心的文献质量评价标准和证据推荐级别系统（2014版）,对各类研究进行质量评价及证据推荐级别评定。 结果 共纳入23篇文献,其中3篇指南、1篇临床决策、8篇专家共识、4篇推荐实践、3篇证据总结、1篇系统评价、2篇政府报告及1篇医院标准。最终总结了42条最佳证据。 结论 医疗机构管理者需根据不同场所和医院实际条件对患者身份识别进行科学管理,应重点把控识别时机、强化对特殊人群的管理以及加强质量控制等。同时,应用人员还需对证据进行持续更新,通过应用最佳证据,提升医疗机构安全管理。

关键词: 患者安全, 身份识别, 循证护理学, 护理管理研究