在血液瘤病房的护士之间,减少口服药物治疗期间的中断:一个最佳实践实施项目的项目
Jia Wen Siah1, Crystal Kai Tian Cheng2, Chloe Leyi Choy1
1National University Cancer Institute, Singapore, National University Hospital, Singapore.
JBI evidence implementation
|August 22, 2024
概括
实施基于证据的捆绑方案显著减少了护士在血液瘤病房服药期间的中断. 这一举措通过减少与中断相关的药物错误来提高患者的安全性.
科学领域:
- 护理实践 护理实践
- 患者安全 患者安全
- 瘤医疗护理 癌症护理
背景情况:
- 药物错误对患者安全构成风险,需要确定有助于因素.
- 护士在药物给药期间的中断很常见,并且与药物错误有关.
- 通过有针对性的干预来最大限度地减少中断对于提高药物安全至关重要.
研究的目的:
- 为了减少在血液病瘤学设置护士口服药物循环期间的中断.
- 提高对最佳实践的遵守,以减少20%的中断.
主要方法:
- 在12个月内 (2022年3月至2023年3月) 采用了基于证据的审计和反方法.
- 该项目得到了JBI证据实施框架和PACES系统的支持.
- 实施了由三个最佳实践组成的中断减少捆绑.
主要成果:
- 在不间断服用药物的基线遵守率为24%.
- 实施一个月后,合规性提高到51%,在9个月后达到59%.
- 绝对中断数量从基线时的47下降到实施后9个月的16个.
结论:
- 以证据为基础的干预措施,作为一个捆绑,有效地减少了药物循环期间的中断.
- 实施的策略在尽量减少药物管理中断方面表现出持续的积极结果.
- 该项目突显了结构化方法改善护理实践和患者安全的成功.
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