伊朗医院的药物错误率:一个元分析
Parvaneh Isfahani1, Aliyeh Bazi2, Samira Alirezaei3
1Department of Health Management, School of Public Health, Zabol University of Medical Sciences, Zabol, Iran.
BMC health services research
|June 17, 2024
概括
伊朗医院的药物错误率为10.9%. 这些药物错误会对患者满意度,死亡率和医疗费用产生负面影响,需要改进报告系统.
科学领域:
- 医疗保健的质量和安全
- 临床药房 临床药房
- 医疗保健服务研究 医疗服务研究
背景情况:
- 药物错误 (ME) 显著影响患者的结果,包括满意度,死亡率和医院生产力.
- 中小企业有助于增加医疗保健系统成本.
- 了解ME在特定医疗保健环境中的患病率对于有针对性的干预至关重要.
研究的目的:
- 为了确定伊朗医院药物错误的总比率.
- 综合各种伊朗医疗保健设施中ME流行情况的现有数据.
主要方法:
- 进行了全面的元分析,从五个数据库和谷歌学者中确定了相关的研究.
- 进行了包含的文章的质量评估.
- 使用I2指数分析异质性,并通过元回归探索潜在的变异来源.
- 使用综合元分析 (CMA) 软件分析了17篇符合条件的文章.
主要成果:
- 伊朗医院的药物错误率估计为10.9% (95%CI:5.1%-21.7%).
- 在ME率中观察到显著的变化,最高记录在99.5% (Sanandaj,2006),最低记录在0.2% (Kashan,2019).
- 发现样本大小和出版年与报告的ME病率有显著的相关性 (P < 0.05).
结论:
- 分析表明,伊朗医院的药物错误率相对较高.
- 介质经验给患者带来了巨大的成本和不利后果.
- 强调伊朗卫生系统内自愿报告药物错误是缓解这些问题的关键.
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