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自发新生儿药物事件报告-一个单一中心的回顾性分析
Sunaina Nundeekasen1, Joanne McIntosh2,3, Laurence McCleary4,5
1Department of Neonatology, Centenary Hospital for Women and Children, The Canberra Hospital, Garran, ACT 2605, Australia.
Healthcare (Basel, Switzerland)
|November 9, 2024
概括
新生儿重症监护室 (NICU) 的药物错误很常见,最常见的是药物管理和处方错误. 这项研究强调了改善干预措施的必要性,以尽量减少新生儿的这些风险.
科学领域:
- 新生儿重症监护室新生儿重症监护室
- 药物的安全性 药物的安全性
- 临床事件报告 临床事件报告
背景情况:
- 在新生儿重症监护室 (NICU) 中,药物错误很常见,主要涉及剂量和处方错误.
- 使用一个自愿的,非匿名的事件报告系统 (RiskMan) 来捕获这些错误.
研究的目的:
- 为了识别在澳大利亚第三级NICU在12年期间报告的常见药物错误.
- 分析这种特定高风险人群中药物错误的类型和频率.
主要方法:
- 一项单一中心的队列研究分析了从2010年到2021年通过RiskMan在线数据库前性报告的与药物有关的事件.
- 事件被分为管理,处方,药房相关和其他类型的错误.
主要成果:
- 报告共有583个药物错误,其中管理 (41.3%) 和处方 (24.5%) 错误最为普遍.
- 护理和助产人员 (77%) 报告了大多数事件. 大多数结果都是轻微的 (98%),但有一个极端事件与新生儿的死亡有关.
结论:
- 新生儿重症监护室的药物错误是一个重大问题,需要加强改进计划.
- 在日常实践中实施基于证据的干预措施对于减少药物错误和提高新生儿安全至关重要.
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