危险因素 错误的病人药物订单在急诊室的危险因素
Gert Krummrey1,2, Thomas C Sauter2, Wolf E Hautz2
1Institute for Medical Informatics (I4MI), Bern University of Applied Sciences (BFH), Biel/Bienne 2501, Switzerland.
紧急诊所 (ED) 的错误患者的药物错误与电子病历 (EMR) 中的检查室距离和患者共享相同性别有关. 这些因素增加了订单错误的风险.
科学领域:
- 医疗信息学 医疗信息学
- 患者安全 患者安全
- 紧急医疗 紧急医疗
背景情况:
- 错误患者的药物错误在急诊室 (ED) 中构成重大风险.
- "撤回和重新订单" (RaR) 度量识别了拦截的订单错误,为研究促成因素提供了基础.
研究的目的:
- 在ED中调查与错误患者的药物订单相关的风险因素.
- 识别与订单错误相关的电子病历 (EMR) 和患者人口统计数据中的特定元素.
主要方法:
- 在5年 (2017-2021) 期间,从学术ED获得的药物订购数据的分析.
- 识别和评估"撤回和重新排序" (RaR) 事件.
- 统计评估RaR事件与因素之间的关联,包括患者姓名相似性,出生日期,性别,年龄,一天的时间,轮班开始距离,EMR检查室布局.
主要成果:
- 总共有1031个RaR事件被确定,比例发病率为每10万个ED订单中184个.
- RaR事件与EMR接口中检查室的更近距离 (OR 0.62,P < .001) 和同性患者 (OR 1.26,P = .001) 有关.
- 患者姓名,出生日期和年龄的相似性等因素与RaR事件没有显著的关联.
结论:
- 在EMR内检查室的近距离和患者的共同性别被确定为错误患者药物订单的重要风险因素.
- 研究结果表明,EMR接口设计和患者人口统计学匹配在预防药物订购错误方面发挥着至关重要的作用.
- 对用户界面优化和警报系统的进一步研究可能会提高患者在ED药物订购中的安全性.
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