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Updated: Jul 25, 2026

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Intravenous Injections in Neonatal Mice
Published on: November 11, 2014
新生儿和儿科重症监护病房中的药物错误
T N Raju1, S Kecskes, J P Thornton
1Division of Neonatology, University of Illinois Hospital, College of Medicine, Chicago.
Lancet (London, England)
|August 12, 1989
概括
新生儿和儿科重症监护室的药物错误发生率为14.7%,导致患者在3.1%的入院中受伤. 持续监测可以帮助预防这些阳性并发症.
科学领域:
- 儿科重症监护医学 儿科重症监护医学
- 药物安全 药物安全
- 医疗保健中的质量保证
背景情况:
- 在新生儿和儿科重症监护病房 (NICU/PICU) 中,创致性药物错误存在重大风险.
- 了解这些错误的频率和影响对于患者安全至关重要.
研究的目的:
- 量化NICU/PICU中阳性药物治疗错误的发生率和严重程度.
- 评估这些药物错误导致的患者受伤率.
- 评估纵向监控系统在识别和预防此类错误方面的实用性.
主要方法:
- 进行了一项为期四年的前性质量保证研究.
- 收集了2147例新生儿和儿科重症监护病房的数据.
- 记录了所有报告的催化剂药物错误和相关的患者伤害.
主要成果:
- 报告了总共315个催化剂药物错误,错误率为14.7% (每6.8次入院中有1次).
- 在3.1%的入院病例 (66/2147) 中发生了阳性损伤,每33例入院病例中发生1例损伤.
- 潜在严重的错误占10.5% (33/315),轻微的伤害占10.2% (32/315). 一个病例涉及急性氨基胺毒素中毒,原因是过量服用十倍.
结论:
- 在NICU/PICU中,催化剂药物错误很常见,可能导致患者严重受伤.
- 一个纵向监测系统是有价值的识别iatrogenic并发症和告知预防策略.
- 实施强有力的质量保证措施对于改善儿科重症监护中的药物安全至关重要.
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