在急诊室的药物错误:一个系统的审查和流行率和严重程度的元分析
Phuong Thi Lan Nguyen1, Thu Anh Thi Phan1, Van Bich Ngoc Vo1
1School of Medicine, Vietnam National University Ho Chi Minh City, Ho Chi Minh City, Vietnam.
International journal of clinical pharmacy
|May 11, 2024
概括
药物错误在急诊室很常见,影响超过三分之一的患者. 这些错误的很大一部分可能是有害的,突出了关键的患者安全问题.
科学领域:
- 医疗安全 医疗安全
- 临床药房 临床药房
- 紧急医疗 紧急医疗
背景情况:
- 药物错误对急诊室的患者安全构成重大威胁.
- 之前关于这些错误的流行率的研究已经产生了不一致的结果.
研究的目的:
- 提供有关急诊室药物错误的流行率和严重性的汇总数据.
- 在这种情况下,确定受药物错误影响的患者比例.
主要方法:
- 在Embase,PubMed和Cochrane图书馆进行了系统的文献搜索,直到2023年6月.
- 随机效应元分析用于综合24项合格研究的数据.
- 流行率,患者参与度和错误严重程度被汇总在一起,使用I2和Cochran的Q测试来评估异质性.
主要成果:
- 在急诊室中药物错误的综合流行率为22.6%.
- 估计有36.3%的患者经历了药物错误.
- 在这些错误中,42.6%是潜在有害的,57.3%是无害的.
结论:
- 药物错误的高患病率,特别是潜在的有害药物错误,表明急诊室存在重大患者安全问题.
- 开发和实施有针对性的干预措施对于减少药物错误和提高患者安全至关重要.
更多相关视频
09:52Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
17.2K
11:17Multiplex Therapeutic Drug Monitoring by Isotope-dilution HPLC-MS/MS of Antibiotics in Critical Illnesses
Published on: August 30, 2018
12.9K
相关概念视频
Errors occurring during blood pressure monitoring
714
Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
Several factors...
714
Pharmacovigilance
826
Post-marketing surveillance is a critical component of pharmaceutical regulation, often uncovering unanticipated adverse drug reactions (ADRs) once a drug is widely used over an extended period.
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
826
Guidelines for Nursing Documentation I
1.1K
Quality documentation and reporting share essential characteristics that ensure they are practical and valuable resources for those who use them. These characteristics are:
Factual:
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.
Factual:
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.
1.1K
Methods of Documentation VII: EMR
832
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
832
Documentation of Nursing Diagnosis
1.2K
The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
1.2K
Guidelines and Strategies for Safe Computer Charting
801
The guidelines and strategies provided by the American Nurses Association (ANA) and the Canadian Nurses Association (CNA) offer essential principles for ensuring safe and secure computer charting systems in healthcare settings. Let's break down each recommendation:
Maintain Confidentiality and Security:
Maintain Confidentiality and Security:
801
