与儿童药物管理错误相关的危险因素:对儿科住院患者进行前性直接观察研究
Johanna I Westbrook1, Ling Li2, Amanda Woods2
1Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Macquarie University, Level 6, 75 Talavera Road, Sydney, New South Wales, 2109, Australia. Johanna.westbrook@mq.edu.au.
药物管理错误 (MAE) 在儿科病房很常见,特别是在静脉注射药物和老年儿童中. 电子药物管理系统显著减少了这些错误造成的伤害.
科学领域:
- 儿科护理 儿科护理
- 药物安全 药物安全
- 医疗信息学 医疗信息学
背景情况:
- 有限的数据存在于药物管理错误 (MAE) 和他们的危险因素在一般的儿科设置.
- 了解这些因素对于提高患者安全至关重要.
研究的目的:
- 确定护士,药物和与儿科住院患者的MAE相关的工作环境因素.
- 评估电子药物管理系统对MAE的影响.
主要方法:
- 在儿童医院对298名护士和5137名药物管理进行了前性,直接的观察性研究.
- 收集关于护士特征,药物细节和工作变量的数据.
- 用于分析MAE风险因素的多变量模型.
主要成果:
- 在37.0%的管理中发生了MAE,其中25.8%被评为潜在的严重.
- 在静脉注射 (64.7%) 和注射 (77.4%) 中观察到高错误率.
- 风险因素包括静脉注射,早晨/周末服用,年龄较大的儿童和需要溶剂的口服药物;电子药物管理系统减少了45%的危害.
结论:
- 预防药物错误应集中在静脉注射和老年儿科患者身上.
- 改善护士的工作环境和整合药物技术,如电子药物管理系统是必不可少的.
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