药物错误报告中的改进建议和行动:质量和强度:一个横截面研究
Ville Valkonen1, Kaisa Haatainen2, Susanna Saano3
1School of Pharmacy, University of Eastern Finland Kuopio Finland.
Health science reports
|September 19, 2024
概括
分析药物错误报告显示,改善行动往往很弱或不存在. 这凸显了加强报告文化和管理流程的必要性,以提高患者安全.
科学领域:
- 医疗保健的质量和安全.
- 患者安全研究的研究.
- 药物安全系统 药物安全系统
背景情况:
- 药物错误 (ME) 是可预防的患者伤害的主要原因.
- 自愿事件报告系统对于管理药物安全至关重要.
- 分析聚合的ME报告可以识别系统性组织风险.
研究的目的:
- 通过综合报告调查药物错误管理过程和报告文化.
- 制定一个阶层来分类ME改进行动的强度.
- 分析ME改进行动的强度和管理流.
主要方法:
- 来自芬兰第三级医院的5463份ME报告 (2017-2021) 的回顾性,横截面研究.
- 将改进建议和行动分为强度类别 (强,中,弱,不采取行动,模糊) 在三个管理阶段进行分类.
- 分析报告管理流程,使用描述性统计和千平方测试.
主要成果:
- 开发了一个新的强度分类等级:强 (3),中 (2),弱 (1),无作用 (0),模糊 (0).
- 改进建议和行动在管理阶段主要是很弱的 (23.4%-54.2%).
- 很大一部分报告缺乏行动 (20.5%-49.1%) 或是模糊的 (4.2%-20.6%).
结论:
- 在汇总的ME报告中分析改进行动的强度,可以了解报告文化和错误管理.
- 开发的强度分类层次是评估药物安全性改进过程的有效工具.
相关概念视频
Types of Reports III: Telephone and Verbal Reports
727
Telephone and Verbal Reports in healthcare settings are two communication methods for conveying therapeutic instructions from healthcare providers to nurses or other healthcare staff.
Here's an overview of each type:
Telephone Orders
Here's an overview of each type:
Telephone Orders
727
Types of Reports I: Hands-off Report
890
A hand-off report, also known as a change-of-shift report, is a crucial nursing process that ensures the smooth transition of patient care responsibilities between nursing staff.
Following are the key components and categories of hand-off reports:
Purpose and Process:
Following are the key components and categories of hand-off reports:
Purpose and Process:
890
Types of Reports II: Incident or Occurrence Report
806
An Incident or Occurrence Report in a healthcare setting is a crucial document used to record any unexpected occurrence that may or may not have affected a patient, employee, or visitor. Such reports are critical to improving patient safety and include all details leading up to and including the event.
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
806
Pharmacovigilance
786
Post-marketing surveillance is a critical component of pharmaceutical regulation, often uncovering unanticipated adverse drug reactions (ADRs) once a drug is widely used over an extended period.
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
786
Errors occurring during blood pressure monitoring
610
Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
Several factors...
610
Introduction to Documentation and Reporting
2.0K
Documentation is the systematic process of formally recording, maintaining, and communicating information.
Nursing documentation records essential information and details regarding a patient's care and treatment in written or electronic form. It is a critical aspect of nursing practice that involves documenting assessments, interventions, outcomes, and other relevant details about a patient's health status.
Documentation maps the patient's health journey by creating a comprehensive...
Nursing documentation records essential information and details regarding a patient's care and treatment in written or electronic form. It is a critical aspect of nursing practice that involves documenting assessments, interventions, outcomes, and other relevant details about a patient's health status.
Documentation maps the patient's health journey by creating a comprehensive...
2.0K


