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探索基金会医生在值班期间安全处方高风险药物时所面临的挑战:一项定性研究
Mahdi A Alanzi1, Mary P Tully2, Penny J Lewis2,3
1Department of Pharmaceutical Services, Prince Sultan Military Medical City (PSMMC), Riyadh, Saudi Arabia.
初级医生在随时处方高风险药物时面临重大挑战,包括缺乏支持和疲劳. 解决这些问题对于改善医院患者安全至关重要.
科学领域:
- 医学教育 医学教育
- 患者安全 患者安全
- 临床药房 临床药房
背景情况:
- 高风险药物 (HRM) 在出现处方错误时,具有更大的伤害患者的潜力.
- 初级医生,特别是在值班期间,在安全的HRM处方方面面临着独特的挑战.
- 了解这些挑战对于开发有针对性的干预措施以防止错误至关重要.
研究的目的:
- 探索基金会医生 (FY1和FY2) 在值班期间处方高风险药物 (抗凝剂,胰岛素,阿片类药物) 时面临的具体挑战.
- 确定在高压,时间敏感的环境中导致处方困难的因素.
主要方法:
- 在三个医院进行了六个重点小组,其中包括基础一年1和基础年2的医生.
- 采用基于伦敦议定书的专题框架分析来分析定性数据.
主要成果:
- 医生们报告了一些挑战,包括不充分的处方支持,护理压力,复杂的任务,不熟悉的患者以及疲劳和知识差距等个人因素.
- 值班环境,以其快节奏为特征,加剧了这些处方挑战.
结论:
- 基金会医生在值班期间处方HRM时遇到许多障碍.
- 人力资源管理错误的严重后果需要医疗保健专业人员,研究人员和决策者加大注意力,以加强医院的安全处方实践.
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