基于健康素养的沟通,以减少住院儿童出院时的药物错误:一项随机临床试验
Alison R Carroll1, Jakobi A Johnson1, Justine C Stassun1
1Division of Pediatric Hospital Medicine, Department of Pediatrics, Monroe Carell Jr Children's Hospital at Vanderbilt, Vanderbilt University School of Medicine, Nashville, Tennessee.
JAMA network open
|January 16, 2024
概括
一项新的沟通策略显著减少了医院出院后儿童的药物剂量错误. 这种方法改善了护理人员对药物说明的理解,提高了儿童在家中的安全.
科学领域:
- 儿童患者的安全性
- 儿科的健康素养 在儿科的健康素养
- 减少药物错误 减少药物错误
背景情况:
- 医院出院时的沟通不足导致儿童的药物剂量错误.
- 基于健康素养的策略可以改善药物咨询,但尚未在儿科环境中进行测试.
研究的目的:
- 评估一项以健康素养为基础的沟通干预措施,以减少住院儿童的液体药物剂量错误.
- 将干预的有效性与儿科医院出院期间的标准咨询进行比较.
主要方法:
- 一项并行的随机临床试验涉及6岁或6岁以下儿童的照顾者处方液体药物.
- 干预组收到了一个包,包括基于图形图的指令,反教和示范与展示.
- 对照组接受了标准的出院药物咨询.
主要成果:
- 干预组的平均剂量误差显著较低 (1.0%对3.3%,P<.001).
- 干预组中较少的护理人员测量了不正确的剂量 (30.4%与54.2%,P = .003).
- 干预改善了护理人员关于药物剂量,服用时间和不良反应的知识.
结论:
- 一个以健康素养为基础的出院沟通包有效地减少了儿科药物剂量错误.
- 该干预措施增强了护理人员的药物知识,促进了在家中更安全的药物管理.
- 标准化的沟通策略对于改善住院后的患者安全至关重要.
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