医疗机构内输液器件的流速准确性:系统性审查
Opeyemi Atanda1, Jonathan West2, Tom Stables2
1Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, St. Mary Campus, QEQM Building, London, SW7 2AZ, UK.
Therapeutic advances in drug safety
|July 26, 2023
概括
静脉注射液疗法的并发症是由不准确的管理引起的. 这次审查发现,输液器件显著影响流速的准确性,强调需要对患者安全结果进行更多研究.
科学领域:
- 医疗器械 医疗器械
- 临床药房 临床药房
- 患者安全 患者安全
背景情况:
- 静脉注射 (IV) 液体治疗对住院患者至关重要,但不适当的管理导致多达20%的病例出现并发症.
- 静脉注射药物制备和施用中的错误率在13%至84%之间,强调需要精确的液体输送.
- 准确的剂量管理对于安全有效地输送静脉注射液体至关重要.
研究的目的:
- 系统地审查用于输液治疗的输液套件和设备的准确性.
- 识别和检查影响这些输液器件流速精度的因素.
主要方法:
- 在六个主要数据库 (CINAHL,MEDLINE PubMed,EMBASE,Web of Science,Cochrane) 进行了系统的文献搜索.
- 包括专注于输液器件流量和液体或非瘤药物的滴速精度的研究.
- 采用了定性综合,根据设计异质性评估研究质量.
主要成果:
- 包括8项研究,其中4项涉及人类受试者 (182名参与者).
- 机械和生理因素 (例如,高度,逆压,液体粘度,患者位置) 显著影响输液装置的准确性.
- 与制造商给定集规格的偏差增加了10-20%的错误率.
结论:
- 输液装置是IV液体管理中的重要错误来源.
- 缺乏前性试验数据,评估输液装置的临床准确性及其对患者结果的影响.
- 未来的研究应侧重于流量变化和准确性,特别是评估它们对患者安全和临床结果的影响.
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