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Updated: Jul 2, 2025

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在双重检查高风险药物管理时评估日常实践中的偏差和考虑因素:使用FRAM进行定性研究.
Sharon A van Stralen1, Linda van Eikenhorst1, Astrid S Vonk1
1Netherlands Institute for Health Services Research (Nivel), Organization and Quality of Care, Utrecht, the Netherlands.
Heliyon
|February 21, 2024
概括
由于时间压力,护士经常跳过药物双重检查,而是依赖风险评估. 这项研究探讨了高风险药物管理和决策过程中的差异.
科学领域:
- 医疗保健的质量和安全.
- 药物管理协议 药物管理协议
- 护理实践研究研究护理实践研究
背景情况:
- 对高风险药物管理的双重检查协议的遵守通常很低.
- 尽管遵守规则较低,但大多数高风险药物管理都没有发生事故.
- 这项研究检查了日常实践中高风险药物的制备和使用的变化.
研究的目的:
- 研究制备和管理高风险药物的过程.
- 为了识别日常护理实践中发生的变化.
- 了解影响偏离既定准则的考虑因素.
主要方法:
- 功能共振分析方法 (FRAM) 应用于模型指南和日常实践.
- 十个荷兰医院病房参加了.
- 与77名护士进行半结构面试,以探索准备和管理实践以及决策.
主要成果:
- 在指导方针和实践模型之间发现了六个偏差.
- 观察到双重检查程序的四种变化,通常受时间压力的影响.
- 护士进行风险评估,考虑患者的稳定性和计算复杂性,以决定是否执行双重检查.
结论:
- 时间压力是执行药物双重检查的主要障碍.
- 护士利用风险评估和对专业知识的信任来证明偏离双重检查协议的合理性.
- 未来的研究应该适应双重检查程序的实际可行性,同时确保患者的安全.
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