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临床决策支持作为在手术室中预防药物错误的预防工具:一项回顾性跨部门研究
Lynda D Amici1, Maria van Pelt1,2,3, Laura Mylott1
1From the Northeastern University School of Nursing, Boston, Massachusetts.
Anesthesia and analgesia
|June 13, 2024
概括
临床决策支持 (CDS) 软件可以防止95%的手术中药物错误,包括错误的药物和剂量错误. 这项技术具有提高手术室安全性的巨大潜力.
科学领域:
- 麻醉学 麻醉学
- 患者安全 患者安全
- 医疗信息学 医疗信息学
背景情况:
- 操作室的药物错误可能会对患者造成重大伤害.
- 电子临床决策支持 (CDS) 在其他领域是有效的,但在OR中未得到充分利用.
- 尽管有潜力,但CDS在手术室的采用有限.
研究的目的:
- 量化CDS算法可以预防的手术中药物错误的百分比.
- 评估CDS对手术室药物安全性的潜在影响.
主要方法:
- 从麻醉临床医生对药物错误的127份安全报告的回顾性分析 (2020年8月-2022年8月).
- 错误按阶段,类型,不良事件存在,严重程度和CDS可预防性进行分类.
- 图表审查证实了数据;审查员的分歧通过共识解决.
主要成果:
- 95% (76/80) 报告的手术内药物错误被认为是可预防的CDS.
- 错误的药物 (100%),错误的剂量 (100%) 和文档错误 (100%) 是高度可预防的.
- 不故意的玻尿酸错误最不可能被CDS阻止 (0%).
结论:
- 大多数手术期间的药物错误可以通过CDS来预防.
- 未来的研究应该涉及随机对照试验,以验证OR中CDS的有效性.
- 实施CDS可以显著提高在手术室的患者安全.
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