创伤患者的入院药物调和差异:一致的护理护理可能不是答案
Corinne E Gautreaux1, Thomas W Robinson1, Elisabeth G Dunbar1
1Division of Trauma, Acute Care Surgery, and Burns, Department of Surgery, Frederick P. Whiddon College of Medicine, University of South Alabama, Mobile, AL, USA.
The American surgeon
|March 27, 2024
概括
在创伤患者中,药物调和错误很常见. 减少对临时护士的依赖并没有减少这些差异,这表明需要新的策略来防止药物错误.
科学领域:
- 医学研究 医学研究
- 患者安全 患者安全
- 创伤护理 创伤护理
背景情况:
- 意外的药物调和差异是创伤患者群体的一个重要问题.
- 有效的药物调和对于患者的安全至关重要,特别是在急性护理环境中.
研究的目的:
- 评估创伤患者意外药物调和差异的发生率.
- 评估减少对短期护理人员的依赖对药物协调准确性的影响.
主要方法:
- 在一级创伤中心进行了前性研究.
- 从患者和独立来源获得家庭药物清单,并与入院药物调和 (AMR) 清单进行比较.
- 分析了来自108名创伤患者的数据.
主要成果:
- 34%的患者从未接受过AMR.
- 在完成AMR的患者中,59%的人至少有一次错误,总共有154个错误 (每患者有3.7个差异).
- 服用≥5种药物的患者有较高的不完整/不准确AMR (89%对41%) 的可能性.
结论:
- 减少对短期护理人员的依赖并没有减少药物调和差异.
- 需要采取额外的干预措施,以减轻创伤患者药物管理错误的风险.
- 改善药物调和过程仍然是创伤护理的关键挑战.
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