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Updated: Jul 8, 2025

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错误的属性,促进者和与IV药物的速率控制相关的障碍:一个范围审查
Jeongok Park1, Sang Bin You2, Gi Wook Ryu3
1College of Nursing, Mo-Im Kim Nursing Research Institute, Yonsei University, Seoul, Korea.
Systematic reviews
|December 14, 2023
概括
与错误的静脉注射 (IV) 药物治疗率相关的药物错误强调了需要更好的控制. 本综述综合了有关IV速率控制错误的文献,确定了人类,设计和系统因素,以指导未来的干预.
科学领域:
- 护理科学 护理科学
- 患者安全 患者安全
- 药物管理 药物管理
背景情况:
- 静脉注射 (IV) 药物管理对于患者的护理和安全至关重要.
- 由于错误的静脉注射剂量,经常会出现药物错误.
- 缺乏对静脉注射药物剂量控制文献的全面审查.
研究的目的:
- 为了确定与IV药物剂量控制相关的错误的属性.
- 确定影响静脉注射药物剂量控制的促进因素和障碍.
- 综合现有的关于IV药物剂量控制的文献.
主要方法:
- 使用阿克西和奥马利框架和PRISMA-ScR指南进行了范围审查.
- 在PubMed,Web of Science,EMBASE和CINAHL数据库中进行了搜索,并通过手动搜索来补充.
- 从1200多篇获取的文章中,选择了22项研究进行分析.
主要成果:
- 两个干预措施在减少静脉注射率控制错误方面表现出有效性:通过预防策略持续报告事件,以及用于药物验证的多组分干预措施.
- 促进者和障碍被分为人类 (知识/绩效缺陷,错误的剂量),设计 (设备问题) 和系统因素 (中断,培训,政策,通信) 的类别.
结论:
- 进一步的研究是必不可少的,以开发有效的干预措施,以改善IV速率控制.
- 技术进步需要改变教育和工作环境的政策,以更好地控制IV率.
- 医疗保健提供者,管理人员和工程师之间的合作对于在结构化系统中的最佳IV速率控制至关重要.
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