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转向数字医院对药物错误的影响 (TIME研究)
Teyl Engstrom1, Elizabeth McCourt1,2, Martin Canning3
1Queensland Digital Health Centre, Centre for Health Services Research, The University of Queensland, Herston, QLD, Australia.
NPJ digital medicine
|July 25, 2023
概括
医院的数字化转型显著提高了药物安全性. 过渡到数字医院减少了药物事件和处方错误,改善了整体卫生系统的安全性.
科学领域:
- 医疗保健信息学 医疗保健信息学
- 患者安全 患者安全
- 卫生系统管理管理卫生系统管理
背景情况:
- 数字化转型对于改善医疗保健安全至关重要.
- 建立了一个新的数字医院,两个病房从纸质系统过渡.
研究的目的:
- 评估全面数字化转型对药物安全的影响.
- 评估在过渡期间自愿报告的药物使用事件和处方错误的变化.
主要方法:
- 在两个过渡病房中使用了中断时间序列设计.
- 分析了自愿报告的药物使用事件,并对处方药进行了图表审计.
- 图表审计评估了程序,剂量和治疗处方错误.
主要成果:
- 平均每月的药物错误从12.5降至7.5 (p < 0.001).
- 有错误的药品订单率从52.8%显著降低到15.7% (p < 0.001).
- 在程序错误 (32.1%至1.3%) 和剂量错误 (32.3%至14%) 中观察到显著的减少,但治疗错误没有 (p = 0.478).
结论:
- 过渡到数字医院与药物事件的大幅减少有关.
- 数字化转型对处方错误率产生了积极的影响,提高了患者的安全性.
- 对治疗错误的进一步调查可能是有必要的.
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