儿科有害药物不良事件 (PHADE)
Donogh Burns1, Renu Lal2, Conor Mc Donnell3
1Department of Anesthesia, McMaster Children's Hospital, McMaster University, Hamilton, Ontario, Canada.
Paediatrics & child health
|July 24, 2023
概括
有害的不良药物事件在儿科医院很常见,阿片类药物是主要原因. 本研究量化了这些事件,确定了错误的剂量作为常见的错误类型,以指导预防策略.
科学领域:
- 儿科医院医药 儿科医院医药
- 患者安全研究 患者安全研究
- 药物监督 药物监督 药物监督
背景情况:
- 药物不良事件 (ADEs) 是儿科住院病人的一个重大问题.
- 量化有害的ADEs对于改善儿童药物安全至关重要.
研究的目的:
- 在儿科医院实践中系统量化有害药物不良事件的发生率.
- 确定与这些事件相关的主要药物和错误类型.
主要方法:
- 对儿童住院患者在3.5年内进行验证的药物安全数据库的前性编制.
- 分析与药物错误相关的患者伤害的所有事件,包括严重程度,阶段,错误类型和促成因素.
主要成果:
- 确定了59个有害的不良药物事件,总比率为每10个病人的床上5天中有15.5个.
- 阿片类药物与近一半的伤害 (49%) 相关.
- 错误的剂量是最常见的错误类型,对吗啡和水墨的具体率.
结论:
- 这项研究首次量化了儿童医院实践中有害的ADEs.
- 建立了一个新的标准,用于比较使用阿片类药物管理和患者入床日的儿科有害ADEs.
- 识别特定的药物,错误类型和因素,以告知预防错误和减少危害的干预措施.
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