安全な小児治療薬の使用のための主要なパートナー優先事項
Jonelle Prideaux1,2, Maria T Britto3,4, Lisa M Vaughn5,6
1Division of Emergency Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
BMJ quality & safety
|August 27, 2025
まとめ
安全な小児外来薬の投与を家庭で行うための対策を策定することが極めて重要です. 親と医療従事者はこれらを優先し,品質の改善に介護者の関与の必要性を強調しました.
科学分野:
- 小児薬理学
- 医薬品の安全性に関する研究
- 医療サービス研究
背景:
- 小児の診察室での薬剤使用は,複雑な投与と投与により誤りやすい.
- 外来診療での薬剤の誤差の現在の測定は,品質の改善には不十分です.
- 必要な測定ツールを特定し,開発するために,関係者との協力が不可欠です.
研究 の 目的:
- 小児の診察室での薬の誤用を評価するための重要な措置を特定する.
- 患者や家族を含む主要パートナーを測定の優先事項の決定に巻き込む.
- 家庭での薬の誤差の測定方法のギャップを埋めること
主な方法:
- 親,薬剤師,小児科医,看護師,指導者と質的インタビューを行いました.
- コンセプトマッピングは,構造的な調査と分析プロセスを用いて,対策の生成と優先順位付けを行いました.
- インタビューとコンセプトマッピングのデータを比較し,共通のテーマと優先順位を特定しました.
主要な成果:
- 処方,投与,配給,投与量/教育,モニタリング,監視,家族との連携など 7つの主要な誤薬群が特定されました.
- ステークホルダーは,安全な外来薬の使用と品質の改善のための保健システム対策を優先しました.
- 家庭での投与,投与エラー,有害性,高リスク集団によるデータセグメンテーションの実現可能な対策が強調された.
結論:
- 安全な家庭での薬剤投与対策は 親と医療従事者にとって最優先事項です
- 家庭での管理のためのスケーラブルな対策は,現在入手できず,緊急に必要とされています.
- 将来の測定ツールには 介護者の報告が組み込まれることで 家庭での薬物使用を記録できます
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