模拟和数字支持的药物治疗过程中的风险和提高医院患者安全的潜在解决方案:混合方法研究
Julia Kopanz1, Katharina Lichtenegger1, Christine Schwarz2,3
1Department of Internal Medicine, Division of Endocrinology and Diabetology, Medical University of Graz, Styria, Austria.
PloS one
|February 27, 2024
概括
医院药物错误存在重大风险. 这项研究确定了传统和数字药物处理过程中的许多风险,并提出了提高患者安全的解决方案.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 医疗信息学 医疗信息学
背景情况:
- 医院药物错误是一个普遍的问题.
- 调查模拟和数字支持的药物处理过程中的风险对于患者安全至关重要.
研究的目的:
- 在医院药物处理过程中识别和分类风险.
- 探索潜在的解决方案,包括数字干预和专业发展,以减轻这些风险.
主要方法:
- 一种混合方法的方法,结合了结构化的文献综述和Delphi方法在线问卷.
- 160个主要风险和542个子风险的识别和结构化成43个风险集群.
- 33名医疗保健专家对风险集群的概率和患者安全影响进行评估,并评估数字解决方案的潜力.
主要成果:
- 在药物治疗过程的各个步骤中确定了前15个风险集群:入院,处方,验证,准备/发放,管理,出院,专业能力和患者遵守.
- 专家建议提高意识,培训,网络和药剂师参与,以提高医疗保健专业人员的能力.
- 提出的数字解决方案包括数字药物清单,警告系统,条形码技术和综合护理支持.
结论:
- 该研究强调了模拟和数字医院药物处理过程中存在的众多风险.
- 确定解决方案的重点是加强医疗保健专业人员的能力,并利用数字化来提高患者安全并减少错误.
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