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Updated: Jun 29, 2025

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静脉注射药物错误的演变和医院环境中的预防性系统防御 - - 最近证据的叙述性审查
Sini Kuitunen1, Marja Airaksinen2, Anna-Riia Holmström2
1From the HUS Pharmacy, Hospital Pharmacy of Helsinki University Hospital (HUS).
Journal of patient safety
|March 27, 2024
概括
研究表明,人们越来越关注静脉注射药物错误的系统原因和防御. 像智能这样的新技术是关键的防御,但需要仔细评估和监控安全.
科学领域:
- 医疗保健安全研究
- 药物错误分析 药物错误分析
- 基于系统的风险管理系统.
背景情况:
- 静脉注射药物容易导致医院的严重药物错误.
- 了解系统性原因和防御对于提高患者安全至关重要.
- 之前的审查为该领域的研究建立了基准.
研究的目的:
- 审查最近 (2016-2021) 关于静脉注射药物错误的系统性原因的研究.
- 识别和分析系统防御这些错误.
- 描述医院静脉注射药物安全研究的演变.
主要方法:
- 从2016年6月到2021年10月,在Medline (Ovid) 上进行系统的文献搜索.
- 基于理性的基于系统的风险管理理论的叙事审查.
- 分析和对包括的文章与以前的评论进行比较.
主要成果:
- 包括63篇文章,重点关注静脉注射药物错误的系统性原因 (16) 和防御 (47).
- 大多数研究来自美国/加拿大,重点是药物管理和制备.
- 智能输液仍然是最受研究的防御,对制备技术的研究增加了.
结论:
- 越来越多的人对基于系统的风险管理对静脉注射药物治疗的兴趣.
- 新技术,特别是智能输液和制备系统,越来越多地被用作系统防御.
- 在实施新安全技术时,前性评估和持续监测至关重要.
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