相关实验视频
Updated: Jul 6, 2026
12:08
Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
计算机化医生订单输入系统在促进药物错误方面的作用
Ross Koppel1, Joshua P Metlay, Abigail Cohen
1Department of Sociology, Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania School of Medicine, Philadelphia 19104 USA. rkoppel@sas.upenn.edu
JAMA
|March 10, 2005
概括
计算机化医生订单输入 (CPOE) 系统可以引入新的药物错误风险. 这项研究发现了22种由CPOE促进的错误类型,其中许多错误发生每周一次.
科学领域:
- 医疗信息学 医疗信息学
- 患者安全 患者安全
- 临床药房 临床药房
背景情况:
- 医院计算机化医生订单输入 (CPOE) 系统旨在减少药物错误,这是可预防伤害的主要来源.
- 尽管报告了错误减少率,但CPOE引入新错误类型的潜力仍未得到充分研究.
研究的目的:
- 确定和量化CPOE在促进处方错误风险方面的作用.
- 调查CPOE系统如何无意中导致药物错误.
主要方法:
- 一种混合方法研究,结合了定性 (采访,焦点小组,观察) 和定量 (调查) 方法.
- 涉及的住院工作人员,医生,护士和医院领导人在一个三级医疗教学医院两年.
- 专注于房子工作人员与CPOE系统的互动,以捕捉现实世界的使用和潜在的问题.
主要成果:
- 确定了22种不同类型的药物错误风险,这些风险是由CPOE系统促进的.
- 常见的错误包括碎片显示,误解药房数据,忽略警告,导致双重剂量的功能分离,以及不灵活的订单格式.
- 超过75%的家庭工作人员报告说,他们每周或更频繁地观察到这些错误风险.
结论:
- 领先的CPOE系统经常可以促进药物错误的风险,与其预期的目的相反.
- 临床医生和医疗机构必须主动解决CPOE引起的错误,以及他们预防的错误.
- 系统的设计和实施需要仔细注意,以减轻新引入的患者安全风险.
相关概念视频
01:25Errors occurring during blood pressure monitoring
Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
Several factors...
01:10Documentation of Nursing Diagnosis
The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters assessment...
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters assessment...
01:30Health Information Technology and Healthcare Information System
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
01:13Parameters Affecting Nonlinear Elimination: Zero-Order Input, First-Order Absorption and Two-Compartment Model
Drugs administered through various routes can lead to nonlinear elimination, resulting in complex pharmacokinetic behaviors crucial to understanding efficacious drug dosing.
When a drug is administered through a constant intravenous infusion and eliminated via nonlinear pharmacokinetics, it follows zero-order input. For example, oral drugs undergo first-order absorption upon administration and are eliminated through nonlinear pharmacokinetics.
In the case of subcutaneously administered drugs,...
When a drug is administered through a constant intravenous infusion and eliminated via nonlinear pharmacokinetics, it follows zero-order input. For example, oral drugs undergo first-order absorption upon administration and are eliminated through nonlinear pharmacokinetics.
In the case of subcutaneously administered drugs,...
01:28Dosage Regimens: Designs and Approaches
Designing a dosage regimen, which refers to the manner of drug administration, is a complex process involving the selection of drug dose, route, and frequency. This process is underpinned by pharmacokinetic parameters derived from tests and population averages. These parameters are then tailored to patient-specific variables such as diagnosis, demographics, and allergy status. Once therapy commences, therapeutic response monitoring is critical and achieved through clinical and physical...
01:26Pharmaceutical Poisoning: Potential Scenarios
Pharmaceutical poisoning can occur through various channels, impacting an estimated 2 million hospitalized patients in the U.S. annually with serious adverse drug responses. These scenarios encompass both therapeutic uses, such as drug toxicity, where even standard dosages can lead to severe central nervous system depression, and non-therapeutic exposures, including accidental ingestion by children, and environmental and occupational exposures.Unintentional poisonings often involve exploratory...