为一个大型卫生系统运行药物安全差距评估
Carley Warren1, Joan Kramer1,2, L Hayley Burgess1,2
1Clinical Services Group, HCA Healthcare, Nashville, TN.
HCA healthcare journal of medicine
|July 10, 2023
概括
药物错误导致每年数千人死亡. 一项为期9个月的评估显示,尽管一些安全实践得到了广泛采用,但许多急性护理设施仍在努力全面实施,这凸显了对药物安全的持续改进的需要.
科学领域:
- 患者安全 患者安全
- 改善医疗保健质量 改善医疗保健质量
- 药物管理 药物管理
背景情况:
- 药物错误是美国可预防的伤害和死亡的一个重要原因.
- 自2014年以来,安全药物实践研究所 (ISMP) 已经制定了减轻药物错误的最佳实践.
研究的目的:
- 评估ISMP针对性药物安全最佳实践 (TMSBP) 在急症监护机构的实施情况.
- 确定药物安全最佳实践的采用中存在的差距.
主要方法:
- 一个为期9个月的评估,使用工具来评估与ISMP TMSBP相比的当前做法.
- 从121个急性护理机构收集数据,了解选择的最佳实践的实施情况.
主要成果:
- 超过20家医院没有实施8种药物安全实践.
- 超过80家医院全面实施了9种实践.
- 不同的采用水平表明设施之间有改进的余地.
结论:
- 完全实施药物安全最佳实践是资源密集的,需要强有力的领导力.
- 通过持续关注ISMP TMSBP,有机会提高美国急症监护机构的药物安全性.
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