穿皮内镜胃口术的门诊患者的药物输送错误:对输液管替代养的影响
David García González1,2, Ana Martín-Suárez1,2, Juan José Salvador Sánchez3
1Institute for Biomedical Research of Salamanca (IBSAL), Salamanca, Spain.
Scientific reports
|December 8, 2023
概括
药物输送错误 (MDEs) 在皮肤内镜胃口管 (PEG) 管患者中很常见,增加了管置换的风险. 使用适当的替代药物配方可以预防这些不良事件.
科学领域:
- 胃肠病学 胃肠病学
- 临床药房 临床药房
- 患者安全 患者安全
背景情况:
- 肠道食管用于门诊患者的药物输送是常见的.
- 通过这些管道进行不正确的药物管理带来了重大挑战.
研究的目的:
- 为了识别通过皮肤内镜胃口管 (PEG) 的门诊患者常见的药物输送错误 (MDEs).
- 评估MDEs与由于堵塞或恶化而需要更换PEG管之间的关联.
主要方法:
- 在两年内对使用PEG管的成年门诊患者进行了回顾性研究.
- 定义的MDEs是给药物,不应该通过肠道管粉碎.
- 分析了家庭药物和输管替换数据的电子医疗记录.
主要成果:
- 在269名患者中159名患者 (口服处方的20%) 发现了213名MDEs.
- 85名患者因阻塞而需要更换PEG管.
- 多种类型的MDE与更高的输卵管置换风险显著相关 (OR 2.17).
- 奥梅普拉肠涂层囊显示了最高的风险相关性 (OR 2.24).
结论:
- 带有PEG管的门诊患者面临着MDEs的高风险.
- MDEs显著增加了PEG管置换的可能性,特别是用梅.
- 使用适当的替代药物配方对于预防不良事件和不必要的输液管置换至关重要.
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