实施国家最佳实践系统,为儿童输液提供最佳实践
Moninne M Howlett1,2, Sharon Sutton3,4, Eimear L McGrath3
1Children's Health Ireland, Dublin 2, D12 N512, Ireland. moninne.howlett2@nchg.ie.
International journal of clinical pharmacy
|November 16, 2023
概括
通过智能药物库对儿科输液进行标准化,大大减少了处方错误. 这个国家倡议提高了爱尔兰医院的患者安全和合规性,建立了新的护理标准.
科学领域:
- 药理学 药理学是指药理学的学科.
- 患者安全 患者安全
- 医疗保健信息学 医疗保健信息学
背景情况:
- 标准度输液和智能技术是儿科护理中公认的最佳实践.
- 欧洲医院对这些先进的输液方法的实施率很低.
- 儿童健康爱尔兰 (CHI) 开发了一个标准化的儿科智能药物库.
研究的目的:
- 通过将CHI药物库的使用国有化,扩大儿科输液最佳实践.
- 提高儿科和新生儿护理中的药物安全性和药物管理准确性.
- 为智能药物库实施制定国家标准.
主要方法:
- CHI药物库在10年内开发,从42个药物线扩展到223个药物线,并纳入新生儿子图书馆.
- 实施涉及确保执行支持,专用资源和开发培训套餐.
- 该图书馆部署在爱尔兰的CHI,新生儿/儿科运输服务,新生儿单位和一般儿科站点.
主要成果:
- 一项前后研究显示,输注处方错误显著减少,从29.0%降至8.4% (p < 0.001).
- 直接观察显示,智能系统的高合规性 (98.9%) 和低编程错误 (1.6%).
- 护士报告患者的安全性有所提高,在实施9个月后达成100%的协议.
结论:
- 战略规划和协作是国家标准化输液实践的关键.
- 爱尔兰CHI药物库已被批准为爱尔兰国家护理标准.
- 医疗保健设施正在继续实施药物图书馆.
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