提高ICU中的药物安全性
Linda Fair1, Carol Burns, John Lindsley
1Linda Fair is the patient safety portfolio manager, Carol Burns is an RN 3, and John Lindsley is a lead clinical pharmacy specialist, all at The Johns Hopkins Hospital, Baltimore, MD. Contact author: Linda Fair, lindajfair@gmail.com . The authors have disclosed no potential conflicts of interest, financial or otherwise.
The American journal of nursing
|June 22, 2023
概括
实施药物表和标准化工作流程显著改善了重症监护室 (ICU) 的条形码扫描合规性. 这导致了药物错误的减少,提高了患者的安全.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者安全研究 患者安全研究
- 护理实践创新 护理实践创新
背景情况:
- 在ICU中报告的药物错误突出了遵守安全协议,特别是条形码扫描的问题.
- 无法扫描条形码被确定为导致药物管理错误的一个因素.
研究的目的:
- 加强在ICU中药物管理期间遵守条形码扫描.
- 为了减少与条形码扫描失败相关的药物管理错误.
主要方法:
- 一个药物安全工作组对护士的药物管理工作流进行了观察性研究.
- 干预措施包括引入药物表,标准化工作流程,并提供员工教育.
- 干预后的观察评估了条码扫描合规性的改善.
主要成果:
- 条形码扫描的合规性增加了27.3个百分点,在干预后达到100%.
- 在ICU中经历了17个月的时间,没有报告与扫描失败相关的药物管理错误.
- 使用人类因素原则的药物表被证明是一种简单而可持续的干预.
结论:
- 基于观察的干预措施有效地改善了对条码扫描最佳实践的遵守.
- 基于人类因素的简单解决方案可以显著提高药物安全协议.
- 这项研究展示了一种成功的模型,用于减少重症监护机构的药物错误.
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