当兽医药到达人类医院时:基于问题的学习讨论
Dhanesh D Binda1, Mauricio Gonzalez1, Victoria Rosales1
1From the Department of Anesthesiology, Boston University Chobanian & Avedisian School of Medicine, Boston, Massachusetts.
A&A practice
|July 18, 2023
概括
一家医院接受了兽医异氨酸,危及患者的安全. 药物供应链中的警对于预防药物错误和确保患者福祉至关重要.
科学领域:
- 麻醉学 麻醉学
- 药理学 药理学是指药理学的学科.
- 患者安全 患者安全
背景情况:
- 将药物送到医院是一个复杂的过程.
- 防护措施可能会失败,冒着危害患者的风险.
- 药物错误带来了重大风险.
研究的目的:
- 报告一个特定的药物转移事件.
- 为了区分兽药和人用药物.
- 突出需要供应链警的需要.
主要方法:
- 关于药物错误的案例报告.
- 对药物标签和发行进行分析.
- 对药物供应链漏洞的审查.
主要成果:
- 兽医异氨酸被错误地交付了.
- 该错误在给患者注射之前被检测出来.
- 自动发行系统识别了标签错误的药物.
结论:
- 警在制药供应链中至关重要.
- 区分人用药和兽用药非常重要.
- 预防药物错误可以保护患者的健康.
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