评估在重症监护病房中间歇性抗菌素输液记录实践:一个横截面研究
Joan Allison Rout1, Sabiha Yusuf Essack2, Petra Brysiewicz1
1School of Nursing and Public Health, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa.
Intensive & critical care nursing
|August 31, 2023
概括
南非的重症监护病房中缺乏对卡巴胺抗生素的药物安全措施. 低于最佳的双重检查导致了注射错误,影响了治疗疗效,并可能增加了抗菌素耐药性.
科学领域:
- 药理学 药理学是指药理学的学科.
- 传染性疾病 传染性疾病
- 护理实践 护理实践
背景情况:
- 卡巴胺抗生素对于治疗重症病房 (ICU) 中的严重感染至关重要.
- 在ICU中,药物安全至关重要,以防止不良事件并确保治疗的有效性.
- 亲肠道注射错误,包括那些与抗微生物药物的错误,在急性护理设置中提出了重大挑战.
研究的目的:
- 观察护士在重症监护病房内给予卡巴胺抗生素的情况.
- 为了评估在卡巴尼姆施用期间遵守药物安全措施.
- 识别潜在的药物管理错误及其对患者护理的影响.
主要方法:
- 在南非克瓦祖鲁纳塔尔州的三个成人重症监护病房进行了一项定量观察性研究.
- 观察了护士对药物订单,瓶子制备和施用的做法.
- 输液袋标签和患者药物表被检查是否遵守安全协议.
主要成果:
- 对20名患者进行了223次卡巴尼姆的管理.
- 按计划给药时间的遵守率很低 (34.9%),错过剂量 (5.4%) 和错误剂量 (1.4%) 发生.
- 在输液袋标签上发现了重大缺陷,其中21.5%没有标签,只有8.3%包含了必要的患者和药物详细信息.
结论:
- 观察到一个显著的缺乏遵守被接受的药物风险减轻措施.
- 低于最佳的双重检查实践导致了药物管理错误,影响了治疗时间和准确性.
- 这些发现凸显了对抗微生物治疗在重症患者的疗效以及对抗微生物耐药性的潜在贡献的担忧.
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