儿童年龄和药物错误的风险:一个多站点儿童医院研究
Tim Badgery-Parker1, Ling Li1, Erin Fitzpatrick1
1Australian Institute of Health Innovation, Macquarie University, Sydney, Australia.
The Journal of pediatrics
|May 5, 2024
概括
年长的儿科住院患者面临更高的药物错误风险,包括处方和管理错误. 这突显了年龄作为一个未被认可的因素,需要在儿科医院护理中进行有针对性的干预.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 患者安全 患者安全
- 药物错误分析 药物错误分析
背景情况:
- 药物错误在儿科医院环境中构成重大风险.
- 患者年龄和药物错误之间的关系尚未完全理解.
研究的目的:
- 调查患者年龄与儿科住院患者药物错误发生的相关性.
- 为了确定处方和管理错误的特定与年龄相关的模式.
主要方法:
- 来自图表审查的处方错误数据和来自两个三级儿科医院直接观察的药物管理错误数据的二次分析.
- 多层模型被用来分析患者年龄和药物错误之间的关联,使用受限制的立方线为非线性.
主要成果:
- 处方错误显示,随着年龄的增长,非线性增加,在3年后上升,在青少年时期停滞不前 (P = .01).
- 药物给药误差随着年龄的增长而增加,在8年后 (P = .03),随着给药途径 (口服,静脉注射,静脉注射) 的变化.
结论:
- 高龄是一般儿科病房中药物错误的一个未被认可的风险因素.
- 临床特征和对老年儿科患者的药物治疗实践的关注可能会导致风险.
- 需要进一步的研究来开发针对性的干预措施,以减少错误.
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