制定全面的保护策略框架,以解决组织高度警戒药物的预期错误
Jennifer P Booth1, Amber D Hartman1
1The Ohio State University Wexner Medical Center, Columbus, OH, USA.
Hospital pharmacy
|January 15, 2024
概括
这项研究开发了一个框架,通过确定常见原因和制定有针对性的保护策略,防止高警报药物的错误. 该框架帮助医院评估和改进药物安全协议.
科学领域:
- 药房 药房 药房 药房
- 患者安全 患者安全
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 高警觉药物存在重大风险,因为它们有可能造成伤害.
- 现有的减少错误的策略可能无法全面解决所有观察到或预期的错误.
- 需要采取系统的方法,为这些关键药物制定强有力的保护措施.
研究的目的:
- 制定一个全面的框架,为组织高警戒药物制定保护策略.
- 识别和分类与高警报药物相关的常见原因错误.
- 为解决药物错误创建一个视觉工具.
主要方法:
- 进行文献审查并分析内部自愿错误报告以识别错误.
- 将错误分类为高警报药物的常见原因类型.
- 与药物安全专家和药剂师合作,制定减少错误的策略.
主要成果:
- 在19个高警报药物类别中确定了101个常见原因错误.
- 开发了多个领域的保护策略,包括存储,订购,发放,标签和监控.
- 创建了一个全面的工具和视觉框架来解决药物错误.
结论:
- 已经制定了一个全面的框架,以保护高警报药物免受预期错误的影响.
- 医院可以利用该框架来评估现有的错误减少策略,并确定需要改进的领域.
- 虽然具体的保障措施取决于机构,但该框架提供了一种通用方法来提高药物安全性.
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