药物相关问题 (DRP) 分类系统用于分类严重的药物错误的适用性.
Carita Linden-Lahti1,2, Anna Takala3, Anna-Riia Holmström3
1Division of Pharmacology and Pharmacotherapy, Faculty of Pharmacy, University of Helsinki, Viikinkaari 5 E, 00014, Helsinki, Finland. carita.linden-lahti@hus.fi.
这项研究表明,基于原因的药物相关问题 (DRP) 分类系统有效地分类严重的药物错误 (ME) 和它们的起源. 这种方法有助于理解和预防医疗保健中未来的ME.
科学领域:
- 药物监督 药物监督 药物监督
- 患者安全 患者安全
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 现有的药物错误 (ME) 分类系统对于严重的ME是不理想的.
- 确定严重ME的根本原因对于有效的预防和风险管理至关重要.
研究的目的:
- 评估严重的ME的基于原因的药物相关问题 (DRP) 分类系统的适用性.
- 分析严重药物错误的原因.
主要方法:
- 对与药物有关的投诉和权威陈述 (2013-2017年) 的回顾性分析.
- 一个聚合的DRP分类系统的应用 (Basger等. ) 的情况.
- 定性内容分析,以识别错误特征和对患者的危害.
主要成果:
- 在分析的ME病例中,超过一半 (52%) 导致患者死亡或严重受伤.
- 总共有100个ME被确定,平均每例为1.7个ME.
- DRP分类系统成功地将所有中小企业分类,只有8%的企业属于"其他"类别.
结论:
- 基于病因的DRP分类系统显示了严重ME的分类和分析的前景.
- 这个系统有效地分类了药物错误及其潜在原因.
- 建议进一步研究各种ME事件数据,以验证这些发现.
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