对护士药物管理错误发生率和影响因素的分析:一项回顾性研究
Bingyu Li1, Liqing Yue1, Huan Peng1
1Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Journal of clinical nursing
|October 9, 2024
概括
护士的药物管理错误 (MAE) 受个人,环境和行为因素的影响. 了解这些影响是提高患者安全和减少医疗保健机构中MAE的关键.
科学领域:
- 护理科学 护理科学
- 患者安全研究 患者安全研究
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 药物管理错误 (MAE) 构成了全球重大患者安全挑战.
- 有限的研究已经全面检查了MAE发生率和影响因素的复杂相互作用.
研究的目的:
- 调查护士中药物管理错误 (MAE) 的发生率.
- 识别和分析导致MAE的个人,环境和行为因素.
主要方法:
- 从2019年1月到2023年9月在电子系统中报告的342个MAE的回顾性分析.
- 数据提取包括护士人口统计和药物管理细节.
- 以社会认知理论为指导的内容分析被用来确定MAE的原因.
主要成果:
- 74.3%的MAE导致患者没有或轻微伤害.
- 26-35岁,有6-10年的经验的护士报告了最多的MAE.
- 关键影响因素包括知识,技能,身体状态,设备,工作量,任务执行和沟通.
结论:
- 多种相互关联的因素 (个人,环境,行为) 导致护理领域的MAE.
- 解决与护士相关的因素及其相互作用对于减少MAE至关重要.
- 结果可以为有针对性的培训和临床指南提供信息,以提高药物管理安全性.
相关概念视频
Accountability and Responsibility of a Nurse I
1.8K
Accountability in nursing is a fundamental principle that underscores the obligation of nurses to take responsibility for their actions and answer for any errors or omissions in patient care. This principle is grounded in the professional, legal, and ethical frameworks that shape nursing practice. For instance, nurses must adhere to all relevant laws, regulations, and practice standards, including guidelines set forth by nursing boards and professional bodies, to ensure their actions comply...
1.8K
Guidelines for Nursing Documentation I
1.0K
Quality documentation and reporting share essential characteristics that ensure they are practical and valuable resources for those who use them. These characteristics are:
Factual:
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.
Factual:
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.
1.0K
Current Trends in Nursing II
1.2K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
1.2K
Accountability and Responsibility of a Nurse II
674
Professional accountability in nursing is a multifaceted concept that encompasses professional ethics, legal standards, and employment expectations. This framework ensures that nurses maintain and elevate the quality of care while upholding the values of their profession. It compels them to treat patients, families, and colleagues with respect, compassion, and integrity.
For example, a nurse demonstrating respect and compassion might listen attentively to a patient's concerns, provide...
For example, a nurse demonstrating respect and compassion might listen attentively to a patient's concerns, provide...
674
Documentation of Nursing Diagnosis
1.2K
The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
1.2K
Guidelines and Strategies for Safe Computer Charting
797
The guidelines and strategies provided by the American Nurses Association (ANA) and the Canadian Nurses Association (CNA) offer essential principles for ensuring safe and secure computer charting systems in healthcare settings. Let's break down each recommendation:
Maintain Confidentiality and Security:
Maintain Confidentiality and Security:
797


