伊朗重症监护护士的药物错误:一个系统审查
Zohreh Hosseini Marznaki1, Amir Emami Zeydi2, Mohammad Javad Ghazanfari3
1Imam Ali Hospital, Mazandaran University of Medical Sciences, Sari, Iran.
在伊朗,重症监护室 (ICU) 护士犯下的药物错误很常见,超过一半的病例发生. 管理和人为因素对这些错误有很大影响,需要有针对性的干预措施.
科学领域:
- 患者安全 患者安全
- 护理实践 护理实践
- 医疗保健的质量 医疗保健的质量
背景情况:
- 药物错误 (ME) 是重症监护室 (ICU) 中一个重要的患者安全问题.
- 重症护理护士在确保安全的药物管理方面发挥着关键作用.
- 本综述侧重于伊朗ICU护士中ME患病率,因素和结果.
研究的目的:
- 对伊朗ICU中药物错误 (ME) 的文献进行全面审查.
- 确定ME的患病率,常见类型和促成因素.
- 了解在这种环境中与ME相关的结果.
主要方法:
- 在国际和波斯数据库 (PubMed,科学网,Scopus,谷歌学者,Magiran,SID) 进行系统的文献搜索.
- 关键词包括ME相关的术语及其波斯语对应词,截至2021年3月30日.
- 使用AXIS工具对包含的研究进行质量评估.
主要成果:
- 其中包括15项研究,显示ICU护士患有ME的患病率为53.34%.
- 常见的ME类型:错误的输液率 (14.12%),未经授权的药物 (11.76%) 和错误的时间 (8.49%).
- 错误在早上班 (44.44%) 期间更为频繁,涉及特定药物,如肝素和菌素;管理和人为因素是关键因素.
结论:
- 在伊朗ICU护士中,药物错误的流行率很高.
- 护士经理和政策制定者必须实施策略,如加强培训,以减轻ME.
- 减少ME对于改善ICU患者安全至关重要.
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