在重症监护室治疗药物的预防性风险评估
Hadi Hayati1,2, Majid Piramoon1,3
1Razi Herbal Medicines Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran.
International journal of preventive medicine
|January 24, 2024
概括
失效模式和效果分析 (FMEA) 确定了重症监护室 (ICU) 的高药物处理风险,特别是手术ICU (SICU) 和紧急ICU (EICU). 提高医生订单清晰度可以显著降低这些风险.
科学领域:
- 医疗保健风险管理 医疗保健风险管理
- 护理实践 护理实践
- 患者安全 患者安全
背景情况:
- 使用故障模式和影响分析 (FMEA) 方法作为预防性风险管理策略.
- 该研究的重点是识别和预防护理护理中药物治疗过程中的错误.
- 这项研究是在两个主要医院的10个重症监护病房进行的.
研究的目的:
- 识别重症监护病房内药物治疗过程中的潜在失效模式及其影响.
- 评估和量化与重症监护机构药物管理相关的风险.
- 为护理药物管理中的风险降低策略提供建议.
主要方法:
- 使用混合方法 (定量-定性) 方法的应用描述性研究.
- 聚焦小组讨论被纳入以收集定性见解.
- 风险优先次数 (RPN) 被计算出来,以优先考虑已识别的故障模式.
主要成果:
- 重症监护病房 (ICU) 的平均风险优先次数 (RPN) 为20.97.
- 外科重症监护室 (SICU) 和急诊重症监护室 (EICU) 的RPN分数最高 (分别为24.66和22.71).
- 药物治疗过程中的"医生订单"步骤获得了最高的RPN得分 (26.08).
结论:
- 密集病房,特别是SICU和EICU,在药物治疗过程中面临重大风险.
- 简单的干预措施,比如确保医生手写可读,可以大大减轻风险.
- 在重症监护环境中,FMEA方法对于主动管理药物错误非常有价值.
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