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在教学医院的药物处方错误
T S Lesar1, L L Briceland, K Delcoure
1Department of Pharmacy, Albany Medical Center Hospital, NY 12208.
JAMA
|May 2, 1990
概括
医生的处方错误对患者安全构成重大风险. 这项研究发现每1000个药物订单中有3.13个错误,在特定时间和初级住院人员中,错误率更高.
科学领域:
- 医疗安全 医疗安全
- 药理学 药理学是指药理学的学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 药物处方错误是医疗保健机构的一个关键问题.
- 识别和减轻这些错误对于患者安全至关重要.
研究的目的:
- 量化医生处方错误的发生率和特征.
- 为了确定特定的时间,处方组和与更高错误率相关的医院服务.
主要方法:
- 在一年的时间里,对第三级医疗保健教学医院的药物订单进行了回顾性分析.
- 根据潜在的不良后果来检测和分类处方错误.
主要成果:
- 在289,411个药品订单中,共发现了905个处方错误.
- 总体检测到的错误率为每1000个订单3.13个,每1000个订单有1.81个显著错误.
- 在第一年住院人员中,以及在产科/妇科和手术/麻醉服务中,在下午时间 (12点到3点59分) 观察到更高的错误率.
结论:
- 错误的药物处方对患者构成重大风险.
- 需要有针对性的教育,操作和风险管理干预措施来减少这些错误.
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