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实施护士发起的协议,以改善中风患者的肠道药物管理文档
概括
一个由护士领导的新协议,用于中风患者的食管适度减少了药物管理文档错误 (MADEs). 该系统旨在确保正确的药物治疗路线,防止潜在的MADE,以提高患者安全.
科学领域:
- 护理 护理 护理
- 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:
- 药物文档的错误,特别是关于服药途径的错误,是医疗保健中的一个重大问题.
- 预防住院患者的药物管理文档错误 (MADEs) 的策略,特别是那些使用食管 (FTs) 的患者,需要进一步调查.
- 确保准确的药物给药途径与药物给药的基本"7项权利"保持一致.
研究的目的:
- 评估旨在预防MADEs的护士发起的方案的有效性.
- 为了提高FTs中风患者实际和记录的药物给药路径的准确性.
- 评估一种用于药物路径校正的新方案的利用和结果.
主要方法:
- 在综合性中风中心进行了一项回顾性描述性研究.
- 包括成人中风患者 (2022年2月至2023年8月),FT接受口服 (PO) 处方的肠道药物.
- 一个协议允许护士通过电子健康记录请求改变药物路线,从PO给FT.
主要成果:
- 包括481名患者;护士发起的协议在35.3%的病例中使用.
- 在58.2%的发起案件中,药剂师转换了所有肠道药物订单.
- 在不完全转换的患者中,观察到2个潜在的MADE的中位数.
结论:
- 护士发起的协议显示了适度的利用,但在预防中风患者的中风中发生的MADEs方面表现出潜力.
- 这项研究介绍了首个已知的同类协议,为未来研究减少药物管理错误提供了基础.
- 需要进一步的研究,以优化这些协议的实施和对药物安全的影响.
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