儿科急诊室的药物错误:对提高药物安全性的系统审查和建议
Mohammed Alsabri1, Diane Eapen2, Vaishnavi Sabesan3
1From the Department of Emergency Medicine, Al-Thawra Modern General Teaching Hospital, Sana'a City, Yemen.
Pediatric emergency care
|December 29, 2023
概括
儿科急诊室 (P-EDs) 的药物错误经常发生,通常是由于剂量错误. 干预措施有希望,但需要有针对性的战略来提高儿童的药物安全性.
科学领域:
- 儿科急救医学 儿科急救医学
- 药物监督 药物监督 药物监督
- 医疗保健服务研究 医疗服务研究
背景情况:
- 儿科急诊室 (P-EDs) 的药物错误是一个重大问题.
- 了解患病率,类型和风险因素对于改善患者安全至关重要.
研究的目的:
- 系统地审查P-EDs中药物错误的患病率,可预防性和严重性.
- 为了确定常见的错误类型,涉及的药物,风险因素,并评估干预的有效性.
主要方法:
- 6项初级观察性和随机对照性研究的系统综述.
- 包括儿童患者 (≤18岁) 在P-ED中,遵守PRISMA指南.
- 进行全面的数据库搜索和系统的冲突解决,以进行记录选.
主要成果:
- 药物错误的发生率在10%至15%之间,剂量错误 (39-49%) 最常见,通常是由于体重估计或计算不准确.
- 通常涉及的药物包括乙氨基,止痛药和抗生素. 错误大多是轻度至中度的.
- 危险因素包括缺乏经验的医生,重病患者和沟通失败. 医疗IT干预显示出潜力,但在有效性方面存在差异.
结论:
- 在P-ED的药物错误是复杂的,需要有针对性的干预措施.
- 提高药物安全性和减少P-ED中可预防的错误是必不可少的.
- 本综述为关键医疗保健机构提供了见解和建议.
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