儿科麻醉实践中的药物错误 - - 叙述性审查
Neha Goyal1, Sugandhi Nemani1, Ankur Sharma1
1All India Institute of Medical Sciences, Jodhpur, India.
Anaesthesiology intensive therapy
|September 20, 2023
概括
由于复杂的剂量和配方,药物错误在儿科麻醉中构成重大风险. 实施诸如颜色编码和双重检查等策略可以大大提高患者的安全性.
科学领域:
- 麻醉学 麻醉学
- 儿科医学 儿科医学
- 患者安全 患者安全
背景情况:
- 药物错误在医疗保健中越来越令人担忧,特别是在儿科麻醉中.
- 由于复杂的基于年龄/体重的剂量,药物配方和稀释,儿童特别容易受到药物错误的影响.
- 员工对儿科患者的经验有限,进一步增加了不良事件的风险.
研究的目的:
- 审查和综合现有的关于儿科麻醉中药物错误的文献.
- 确定导致该群体中药物错误的关键风险因素.
- 评估预防策略的有效性,以提高儿童的术后安全性.
主要方法:
- 在PubMed,Cochrane图书馆和谷歌学者中进行了全面的文献搜索.
- 包括专注于小儿麻醉中药物错误的研究 (儿童<18岁).
- 两位独立审稿人对文章进行了选,第三位审稿人解决了不一致的问题.
主要成果:
- 最初的搜索产生了2979篇文章,最终选择了21项相关研究进行分析.
- 关键发现突出了儿科麻醉中药物错误的流行程度和类型.
- 确定的风险因素包括复杂的计算,药物制备和人为因素.
结论:
- 实施预防策略对于减轻儿科麻醉中药物错误至关重要.
- 建议的策略包括颜色编码,准确的剂量验证和鼓励自我报告.
- 这些干预措施可以显著提高儿科患者的术后安全性.
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