处方错误报告在初级保健:一个叙事综合系统性审查
Kathryn Bullen1, Nicola Hall1, John Sherwood1
1School of Pharmacy, University of Sunderland, Sunderland, Tyne and Wear, UK.
在初级保健中报告处方错误对于患者安全至关重要. 主要障碍包括时间限制,对报复的恐惧和组织分离,阻碍有效的错误报告.
科学领域:
- 健康科学 卫生科学 卫生科学
- 患者安全 患者安全
- 药物的错误 药物的错误
背景情况:
- 在初级保健中处方错误可能会导致严重的患者伤害.
- 这些错误的报告不足是常见的,这限制了识别趋势和防止复发的能力.
- 复杂的护理组织和处方转移可能会阻碍有效的错误报告.
研究的目的:
- 系统地审查对初级保健中处方错误报告的障碍和促进因素的初级研究.
- 确定影响医疗保健专业人员报告处方错误的能力的因素.
主要方法:
- 2019年7月,在四个数据库 (PubMed/Medline,Cochrane,CINAHL,Web of Science) 进行了系统的文献搜索.
- 十个符合条件的文章使用混合方法评估工具进行了批判性评估.
- 数据以描述和叙述的方式进行了合成.
主要成果:
- 七项研究重点关注一般实践,三项研究关注社区药房设置.
- 出现的关键主题是:错误的定义,报告文化,报告流程,沟通和能力.
- 医疗保健专业人员认识到报告的价值,但面临时间,恐惧报复和组织分离等障碍.
结论:
- 尽管承认报告的重要性,但存在重大障碍,阻碍了在初级保健中实施处方错误报告系统.
- 解决时间限制,对报复的恐惧以及改善组织整合对于提高报告能力至关重要.
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