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针对儿科重症监护室零药物管理错误:一个质量改进项目
Zahra Ghezaywi1, Hamza Alali2, Yasser Kazzaz3
1Nursing services, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia; King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.
在儿科重症监护病房减少药物错误是可以实现的. 结合人类因素和技术的多学科方法显著减少了药物管理错误,提高了患者的安全性.
科学领域:
- 儿科重症监护医学 儿科重症监护医学
- 患者安全 患者安全
- 提高质量 提高质量
背景情况:
- 由于高急性患者和苛刻的环境,在儿科重症监护室 (PICU) 中,药物错误存在重大风险.
- 在沙特阿拉伯利雅得的第三级儿童医院PICU中发现了基线药物管理错误率.
- 启动了一项质量改进项目,以解决和减少这些药物错误.
研究的目的:
- 实施和评估旨在减少小儿重症监护病房中药物错误的干预措施.
- 评估多学科质量改进计划对药物安全性的影响.
主要方法:
- 一个多学科团队分析了2019年的基线药物错误数据.
- 五个计划-做-研究-行动 (PDSA) 周期在一段定义的时间内实施.
- 药物管理错误率是季度监测,作为主要结果指标.
主要成果:
- 药物安全性得到了显著改善,错误率降低了75%.
- 该部门在2022年第一季度实现了每1000个患者日的零药物错误.
- 减少错误与提高情境意识和增加辅助技术的使用有关.
结论:
- 综合人类和技术方法的多学科干预措施有效地减少了儿科药物错误.
- 一个以团队为基础的协作策略对于提高PICU中药物安全至关重要.
- 实施信息技术,药剂师参与和强有力的临床风险管理是预防错误和提高儿科患者安全的关键.
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