测量儿童的门诊药物错误:一个范围审查
Lisa Rickey1,2, Katherine Auger3,4,5, Maria T Britto4,5
1Division of General Pediatrics, Boston Children's Hospital, Boston, Massachusetts.
Pediatrics
|November 21, 2023
概括
这项研究审查了在门诊环境中对儿科药物错误的措施. 虽然有许多处方和家庭管理错误措施存在,但很少有人评估分发或监测,而最可靠的措施是资源密集的.
科学领域:
- 儿科药理学 儿科药理学
- 药物安全研究 药物安全研究
- 医疗服务研究 医疗服务研究
背景情况:
- 大多数儿科药物都在门诊环境中使用,错误往往不会被发现.
- 缺乏标准化的测量工具,用于 ambulatory 儿科药物错误.
- 这项研究解决了追踪和减少儿童药物错误的可靠方法的需求.
研究的目的:
- 识别和分类现有措施的门诊儿科药物错误.
- 描述用于测量这些错误的数据源.
- 评估已识别的测量方法的可靠性.
主要方法:
- 对已发表的文献 (自1986年以来) 和灰色文献进行了全面的范围审查.
- 搜索的数据库包括PubMed,CINAHL,PsycINFO,Web of Science,Embase和Cochrane. 这些数据库的搜索内容包括:
- 包括测量0-26岁儿童门诊药物错误的研究,并根据药物使用阶段和类型分类措施.
主要成果:
- 审查确定了21个不同的药物错误的措施,跨越了药物使用途径.
- 大多数措施集中在处方错误 (n=6) 和家庭管理错误 (n=4) 上.
- 很少有措施解决分发或监测错误,只有31项研究评估了其测量方法的可靠性.
结论:
- 虽然存在可靠的措施,但许多措施对系统或人口层面的评估来说过于资源密集.
- 一些已识别的措施显示出在持续质量改进倡议中采用的潜力.
- 需要进一步开发实用,可靠的措施,以持续监测儿科药物错误.
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