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在门诊护理环境中处方错误:减轻门诊药物订单中的风险,跨部门审查
Wesam S Abdel-Razaq1,2, Ghada Mardawi3, Aiman A Obaidat1,2
1College of Pharmacy, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
Global journal on quality and safety in healthcare
|November 13, 2024
概括
处方错误在门诊护理中很常见,错误的剂量是最常见的错误. 虽然大多数PE都是轻微的,不会伤害患者,但监测这些错误对于安全至关重要.
科学领域:
- 药房 药房 药房 药房
- 患者安全 患者安全
- 临床实践 临床实践
背景情况:
- 处方错误是最常见的药物错误,包括错误的药物,剂量或患者等问题.
- 这些错误可以发生在各种医疗保健环境中,包括门诊护理.
研究的目的:
- 在沙特阿拉伯的一家三级医院的门诊护理环境中编译和分析处方错误.
主要方法:
- 一个追溯的横截面审查报告PEs在门诊护理诊所超过三年.
- 使用药物错误指数对潜在危险结果的分类.
主要成果:
- 从897个记录中确定了1199个PE,超过三分之一的处方者犯了多次错误.
- 最常见的错误包括错误的剂量 (34.5%),药物重复 (14.1%),错误的剂量频率 (11.6%) 和不适当的持续时间 (9.8%).
- 抗生素 (22.9%) 和心血管药物 (18.5%) 是最常见的. 大多数错误是轻度至中度的近乎失误,只有两个严重事件.
结论:
- 有相当数量的PE发生在门诊护理中,特别是在内科和心脏病学中.
- 虽然PEs难以消除,但持续监测和识别对于预防伤害和提高患者安全至关重要.
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