提供者对口服液体药物的剂量单位的看法和实践的变化
Jennifer N Lind1, Maribeth C Lovegrove1, Ian M Paul2
1Division of Healthcare Quality Promotion (JN Lind, MC Lovegrove, and DS Budnitz), Centers for Disease Control and Prevention, Atlanta, GA.
Academic pediatrics
|September 4, 2023
概括
初级保健提供者越来越多地认为,仅用毫升剂量是液体药物最安全的. 然而,只采用mL的教学在各专业之间仍然不一致,需要进一步的教育.
科学领域:
- 医学教育 医学教育
- 患者安全 患者安全
- 药理学 药理学是指药理学的学科.
背景情况:
- 许多初级保健提供者 (PCP) 认为只有毫升 (mL) 的剂量是口服液体药物的最安全方法.
- 尽管有这样的看法,但实际使用mL-only剂量说明仍滞后,这表明信仰和实践之间存在差距.
研究的目的:
- 评估2015年至2019年之间PCP对口服液体药物的mL-only剂量认知和实践的变化.
- 确定各种PCP专业的认知和实践的差异.
主要方法:
- 在2015年和2019年,对儿科医生,家庭医生,护士从业人员和内科医生进行了基于网络的横截面调查 (DocStyles).
- 参与者被问及他们的信仰和报告的做法,涉及ml-only剂量单位的口服液体药物.
主要成果:
- 2019年,大多数PCP认为mL-only剂量是最安全的 (55.1%-80.8%根据专业),与2015年相比,患者/护理人员偏好mL-only的信念增加.
- 虽然儿科医生报告使用ml-only剂量的可能性最高 (61.6%),但内科医生 (36.0%) 和护士执业人员 (36.6%) 的采用率较低.
- 总体而言,2019年的PCP报告使用mL-only剂量的可能性明显高于2015年 (调整后的几率比率为1.51).
结论:
- 虽然PCP对ml-only剂量安全性的信念越来越强,但一致采用ml-only指令需要进一步的干预.
- 有针对性的教育举措至关重要,以促进mL-only的处方和沟通,特别是对于非儿科专家.
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