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药物调和错误 监测单元患者出院时的错误
Ayman Alboudi1,2,3, Anna M Bank1,2
1Department of Neurology, Lenox Hill Hospital, New York, NY, USA.
患者的药物错误发生在大约10%的监测单元 (EMU) 出院患者中. 更高的药物数量和更长的停留时间增加了这些抗发作药物错误的风险.
科学领域:
- 神经学 神经学
- 药理学 药理学是指药理学的学科.
- 患者安全 患者安全
背景情况:
- 在住院患者的环境中,药物错误很普遍.
- 错过的抗发作药物 (ASM) 可以导致患者突破性发作.
研究的目的:
- 从监测单元 (EMU) 出院时量化和描述抗发作药物调和错误.
主要方法:
- 连续加入EMU的回顾性审查.
- 识别和分类出院药物调和错误 (药物,剂量,时间).
- 错误与临床/人口学变量之间的关联分析.
主要成果:
- 在11例入院 (9.9%) 中发生了14例药物调和错误.
- 剂量错误是最常见的类型 (71.4%).
- 增加ASM,药物总量,药物变化和停留时间与更高的错误可能性相关.
结论:
- 来自EMU的出院药物协调错误影响了大约10%的入院.
- 风险因素包括多药,药物治疗方案的复杂性和长时间住院.
- 患有这些风险因素的患者需要仔细监测以防止错误.
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