在成人重症监护病房中确定药物错误
Renata da Nóbrega Souza de Castro1, Lucas Barbosa de Aguiar1, Cris Renata Grou Volpe2
1Graduate Program in Health Sciences and Technologies, Faculty of Ceilandia, University of Brasília, Federal District, Brasília 72220-275, Brazil.
International journal of environmental research and public health
|September 27, 2023
概括
忽略和安排等药物错误显著增加了重症监护室住院费用. 识别这些错误对于患者安全和降低成本至关重要.
科学领域:
- 医疗保健经济学 医疗保健经济学
- 患者安全研究 患者安全研究
- 临床药房 临床药房
背景情况:
- 药物错误 (ME) 带来了重大的经济和健康风险,但对其相关成本的研究仍然有限.
- 分析ME成本和不良事件对于改善患者,专业和机构安全至关重要.
研究的目的:
- 在重症监护室 (ICU) 中量化药物错误.
- 为了确定是否发现的药物错误与患者住院费用的增加有关.
主要方法:
- 使用电子医疗记录进行的回顾性横截面队列研究.
- 统计分析包括错误率计算,描述性统计和回归建模.
- 对住院费用进行了调查,并与药物错误类型相关联.
主要成果:
- 遗漏错误最常见 (59.8%的剂量,55.31%的总错误),其次是时间错误.
- 遗漏错误导致每次住院和每天的平均成本最高.
- 调度和处方错误与住院费用的增加显著相关 (BRL分别为121.92和63.51).
结论:
- 特定的药物错误 (调度和处方) 与成人ICU住院成本的增加之间存在明显的联系.
- 调查结果强调了药物错误的经济影响,突出了针对性安全干预的领域.
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