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在使用条形码辅助药物管理的新毕业护士中,影响药物管理结果的因素
Elizabeth A Sloss1, Terry L Jones, Kathy Baker
1Author Affiliation: School of Nursing, Virginia Commonwealth University (Dr Sloss), Richmond; College of Nursing, University of Utah (Dr Sloss), Salt Lake City; Department of Adult Health and Nursing Systems, School of Nursing, Virginia Commonwealth University (Dr Jones and Robins), Richmond, Virginia; UVA Health (Dr Baker), Charlottesville, Virginia; and Department of Biostatistics, School of Medicine, Virginia Commonwealth University (Dr Thacker).
新毕业的护士经常继续药物管理,尽管在条形码辅助药物管理期间有警告. 住院,警报类型和先前暴露等因素影响这些关键的患者安全决策.
科学领域:
- 护理 护理 护理
- 患者安全 患者安全
- 医疗信息学 医疗信息学
背景情况:
- 护士面临着高压的临床环境,需要快速决策.
- 确保患者安全需要尽量减少临床决策中的人为错误,特别是在药物管理过程中.
研究的目的:
- 调查影响新毕业的护士在条码辅助药物管理 (BCMA) 过程中产生警报时给药的决定的人类和环境因素.
主要方法:
- 进行了一项描述性的,纵向的,观察性队列研究.
- 使用电子健康记录 (EHR) 审计日志和行政数据收集数据.
- 这项研究包括一个大型城市医疗中心的132名新毕业的护士.
主要成果:
- 在BCMA期间,护士在90.75%的警报遭遇中服用药物.
- 住院队列,警报类别和以前的暴露与决定继续使用药物尽管有警报有显著的关联.
结论:
- 了解影响护士BCMA警报反应的因素对于提高患者安全至关重要.
- 需要进一步的研究来优化药物管理期间的决策过程,以改善患者的治疗结果.
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