[评估注册护士使用计算机化药柜的专业实践]
Lola Fere-Gely1, Laure Deville1, Isabelle Peyron1
1Hôpital Saint-Louis, Paris, France.
Annales pharmaceutiques francaises
|April 30, 2024
概括
医院药物的安全性至关重要. 计算机化药柜的初始挑选合规度较低 (44.7%),突出需要改进护理实践和系统使用,以提高患者安全.
科学领域:
- 健康科学 卫生科学 卫生科学
- 护理实践 护理实践
- 患者安全 患者安全
背景情况:
- 医院中的药物管理带来了重大安全风险,特别是在药物储存和发行方面.
- 计算机化药柜从2015年开始在各医院单位实施,以减轻这些风险.
- 当地指导方针建议在最长24小时内服用药物,以提高安全性.
研究的目的:
- 评估与计算机化药柜使用相关的护理实践.
- 确定药物发行流程需要改进的具体领域.
- 评估是否遵守处方和发行协议.
主要方法:
- 分析了300多份处方和2511种药物收集.
- 对护理人员的吸毒行为进行观察审计.
- 调查问卷通过实践案例和用户满意度来评估知识.
主要成果:
- 选择药物的处方合规率为44.7%.
- 观察性审计显示,采摘合规率更高,达到74.5%.
- 关键的不合规问题包括错误的患者选择和超过24小时的治疗时间.
结论:
- 处方药和实际的药物发行实践之间存在显著的差距.
- 需要有针对性的干预措施来解决患者识别和发行时间不合规的问题.
- 护士们普遍表示对计算机化药柜设备感到满意,尽管发现了实践上的差距.
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