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在一个资源贫困的糖尿病管理中心的药物错误
Frank Yaw Obeng1, Seth Kwabena Amponsah2, Emmanuel Kwaku Ofori3
1Department of Internal Medicine, Komfo Anokye Teaching Hospital, Kumasi, Ghana.
概括
在加纳的糖尿病诊所中,药物错误很常见,影响了18.18%的患者,并导致不良事件. 诸如并发症和人员短缺等因素有助于导致这些错误.
科学领域:
- 临床药房 临床药房
- 患者安全 患者安全
- 医疗保健管理的管理
背景情况:
- 药物错误存在重大风险,包括药物不良反应,住院和死亡率.
- 这些错误往往没有记录,特别是在资源有限的环境中.
研究的目的:
- 调查加纳康福阿诺克耶教学医院 (KATH) 糖尿病诊所中药物错误的流行率和类型.
- 在这种情况下,确定导致药物错误的因素.
主要方法:
- 一种混合方法的方法,结合了回顾性患者档案审查 (2019-2021) 和与医疗保健专业人员的定性访谈.
- 对264名患者病历进行定量分析,以发现药物错误和不良事件.
- 通过采访10名医疗保健工作者,对潜在原因进行定性探索.
主要成果:
- 发现药物错误的总体患病率为18.18%.
- 最常见的错误是错误的药物配方 (39.58%).
- 抗糖尿病药物和抗高血压药物对不良事件的影响最大 (分别为47.83%和34.78%).
- 糖尿病和高血压的并发症显著增加了药物错误的几率 (aOR:5.95).
- 导致错误的因素包括患者人数庞大,员工人数少,药物知识不足等.
结论:
- 在这个加纳糖尿病诊所中,药物错误是适度普遍的,导致不良事件.
- 关键影响因素包括患者年龄,并发症 (糖尿病和高血压),高患者人数比率和医疗保健工作者知识差距.
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