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医疗保健专业人员对青素过敏标签的态度
Ida Josephine Raun1, Pernille Bach Tengberg1, Tom Møller2,3
1Allergy Clinic, Department of Dermatology and Allergy, Copenhagen University Hospital - Herlev and Gentofte Hospital.
Danish medical journal
|August 25, 2023
概括
电子医疗记录 (EMR) 中错误的青素过敏标签导致广泛的抗生素使用和耐药性. 医疗保健专业人员经常对这些标签缺乏信任,导致药物错误和患者安全问题.
科学领域:
- 临床医学 临床医学
- 传染性疾病 传染性疾病
- 药理学 药理学是指药理学的学科.
背景情况:
- 大约10%的住院患者在他们的电子病历 (EMR) 中有一个青素过敏标签.
- 只有不到10%的青素过敏标签通过过敏测试得到确认.
- 这导致90%的患者接受宽频抗生素治疗,导致抗菌素耐药性升级.
研究的目的:
- 探索医疗保健专业人员在丹麦对利过敏不当标签的经验和做法.
- 为了确定不准确的青素过敏标签的后果.
主要方法:
- 在哥本哈根六个医院的医生和护士之间,通过社交媒体和社交媒体分发了一份电子调查.
- 数据是在2020年3月19日至5月1日期间收集的.
- 用描述性统计和主题分析来评估数据.
主要成果:
- 该调查在369名参与者 (152名医生,217名护士) 中实现了44.6%的响应率.
- 一半的医生和20%的护士报告了治疗患有青素过敏标签的患者的问题.
- 医生表示对过敏标签的信任有限,标签的做法各不相同. 观察了预防原则,有72%的人将真正过敏的风险作为不去除标签的原因.
结论:
- 青素过敏标签是导致药物错误的独立因素.
- 建议的解决方案包括对过敏标签的医生教育,决策支持工具,标准化EMR注册和国家药物过敏登记册.
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