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在新生儿重症监护室使用智能输液进行静脉注射药物安全管理:一项观察性研究
Kumiko O Schnock1,2, Sara E Rostas3, Catherine S Yoon4
1Division of General Internal Medicine and Primary Care, Brigham and Women's Hospital, 1620 Tremont Street, OBC-3, Boston, MA, 02120-1613, USA. kschnock@bwh.harvard.edu.
Drug safety
|October 27, 2023
概括
新生儿重症监护室 (NICU) 的智能输液在药物安全方面显示出前景. 大多数错误都源于不合规,突出了政策变革和更好地遵守智能技术的需要.
科学领域:
- 新生儿重症监护室 (NICU) 药物安全 新生儿重症监护室
- 医疗信息学 医疗信息学
- 患者安全 患者安全
背景情况:
- 新生儿重症监护室 (NICU) 照顾脆弱的婴儿,在这种情况下,药物错误会带来重大风险.
- 智能输液被用来提高药物管理的安全性,但它们在新生儿重症监护室的影响仍然不确定.
研究的目的:
- 在NICU环境中调查静脉注射 (IV) 药物管理错误的发生率和类型.
- 评估智能输液技术在NICU内药物安全方面的作用.
主要方法:
- 2019年,在3个月内,在48天内进行了一项观察性,前性点患病率研究.
- 在美国一个学术医疗中心的441名患者中观察到静脉注射药物.
主要成果:
- 总共观察到905次静脉注射药物,其中有130次错误 (14.4次/100次).
- 最常见的错误包括错误的药物库输入 (每百分之5.3),未经授权的药物 (每百分之0.7) 和错误的剂量 (每百分之0.6).
- 68个错误 (7.5/100) 被归类为不太可能造成伤害,并且没有发现对患者的伤害.
结论:
- 发现了NICU人群特有的药物错误,但没有对患者造成伤害.
- 不符合智能技术是错误的主要原因.
- 提高NICU药物安全性需要政策变化和更好地遵守智能利用.
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