了解流行病学观点的药物错误的追溯审计在重症监护病房的流行病学观点
Kelly Ottosen1, Tracey Bucknall2
1Alfred Health Partnership, Melbourne, VIC, Australia.
概括
在重症监护室 (ICU) 中,药物错误很常见,特别是在药物给药过程中. 改进检查程序可以防止许多错误,需要个人和组织战略来提高患者安全.
科学领域:
- 密集护理医学 密集护理医学
- 患者安全 患者安全
- 药物管理 药物管理
背景情况:
- 在重症监护机构中,药物错误很常见,并且与不良事件有关.
- 这些错误带来了重大风险,包括潜在的危及患者生命的结果.
研究的目的:
- 为了确定ICU中药物错误的频率和严重程度.
- 检查先前的事件,风险因素和导致这些错误的因素.
- 确定在ICU内改善药物安全的策略.
主要方法:
- 回顾性,探索性和描述性的研究设计.
- 从事件管理系统和电子医疗记录收集的数据超过13个月.
- 在一个主要的大都会教学医院的ICU中进行的研究.
主要成果:
- 分析了150个药物错误,其中大多数发生在药物使用 (89.4%) 和发行 (23.3%) 期间.
- 常见的错误包括错误的剂量 (25.3%),错误的药物 (12.7%) 和遗漏 (10.7%).
- 麻醉剂止痛药,麻醉剂和免疫修饰剂经常参与其中.
结论:
- 大多数在ICU的药物错误是可以预防的,特别是在药物管理过程中的错误.
- 建议改进管理检查程序,实施个人和组织策略.
- 需要进一步研究有效的检查程序和免疫修饰剂错误.
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