导致护士药物错误的诱导因素和预防策略:对最近文献的全面审查
Fábio Coelho1, Luís Furtado1, Natália Mendonça2
1Department of Nursing, Mental Health, and Gerontology, School of Health, University of the Azores, 9700-042 Angra do Heroísmo, Portugal.
护士可以通过专注于准备,服药和文档来减少药物错误. 关键策略包括教育,验证,组织变革和错误报告,以提高患者安全并降低医疗保健成本.
科学领域:
- 护理实践 护理实践
- 患者安全 患者安全
- 医疗保健系统 医疗保健系统
背景情况:
- 药物错误给患者和医疗保健系统带来了重大风险和成本.
- 由于复杂的护理要求,重症患者特别容易受到药物错误的影响.
研究的目的:
- 探索减轻护士药物错误的策略.
- 识别诱导因素和有效的干预措施,以减少药物错误.
主要方法:
- 使用乔安娜·布里格斯研究所 (JBI) 方法进行了范围审查.
- 在PubMed,CINAHL和MEDLINE数据库 (2012年1月至2023年4月) 中进行了搜索,遵循PRISMA-ScR指南.
- 包括16项研究,并进行主题分析.
主要成果:
- 药物错误发生在制备,使用和文档的过程中.
- 诱导因素包括组织,系统,程序,个人和知识/培训问题.
- 缓解策略包括教育干预,验证方法,组织变化和强大的错误报告系统.
结论:
- 了解错误原因和实施有针对性的干预措施对于尽量减少药物错误至关重要.
- 通过提高患者安全,战略方法可以带来显著的健康收益.
- 这些发现为开发基于证据的策略提供了框架,以减少护理实践中的药物错误.
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