儿童大学医院的高警戒药物相关的药物错误 - - 一项分析错误报告系统数据的横截面研究
Sini Kuitunen1,2, Mari Saksa3, Justiina Tuomisto4
1HUS Pharmacy, HUS Helsinki University Hospital, Helsinki, Finland. sini.kuitunen@helsinki.fi.
涉及高警报药物的药物错误在儿童中很常见,影响了三分之一的报告错误. 这些错误更有可能对患者造成伤害,并且具有更高的风险分类.
科学领域:
- 儿科药理学 儿科药理学
- 患者安全 患者安全
- 药物错误分析 药物错误分析
背景情况:
- 儿科患者容易产生药物错误.
- 关于儿童高警报药物错误的研究有限.
- 本研究通过调查这些错误来弥补这一差距.
研究的目的:
- 为了确定在儿童医院中涉及高警报药物的药物错误的流行率和性质.
- 评估高警觉药物与其他药物相比,是否与严重的患者伤害和更高的错误风险分类有关.
主要方法:
- 2018-2020年在儿童大学医院的自我报告的药物错误的横截面研究.
- 对涉及高警报药物的药物错误报告的描述性定量分析.
- 交叉测定和皮尔森奇方测试用于比较危害和风险分类.
主要成果:
- 大约三分之一 (34.8%) 的报告错误涉及高警报药物.
- 常见的高警觉药物亚组包括血液替代品,抗瘤剂和止痛药.
- 涉及高警报药物的错误更有可能导致患者伤害和更高的风险分类 (IV-V).
结论:
- 预防性风险管理应优先考虑儿科环境中的高警报药物.
- 应专注于静脉注射药物 (例如,腹腔营养,缩的电解质) 和非标签药物使用.
- 需要进一步研究高警报药物错误的根本原因和保障有效性.
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