改善重症监护病人的药物安全,将其转移到医院病房:开发一个基于理论的干预方案
Richard S Bourne1,2,3, Mark Jeffries4,5, Jennifer K Jennings6
1Departments of Pharmacy and Critical Care, Sheffield Teaching Hospitals NHS Foundation Trust, Herries Road, Sheffield, UK. richard.bourne1@nhs.net.
这项研究开发了一种基于理论的干预措施,以提高重症监护室 (ICU) 过渡到医院病房的患者的药物安全性. 该干预针对关键变化和障碍,以减少在护理过渡期间的药物错误.
科学领域:
- 关键护理医学 关键护理医学
- 患者安全 患者安全
- 医疗服务研究 医疗服务研究
背景情况:
- 重症患者需要复杂的护理,药物负担很高.
- 从重症监护室 (ICU) 转移到医院病房的患者存在药物错误的风险.
- 药物过渡错误会对患者的治疗结果和医疗系统产生负面影响.
研究的目的:
- 开发一个基于理论的干预方案,以提高药物安全性.
- 为了解决ICU期间的药物错误,将患者转移到病房.
- 通过更安全的药物治疗实践,改善患者和卫生系统的结果.
主要方法:
- 使用两个英国重点小组与医疗保健专业人员和患者代表进行的定性研究.
- 讨论的重点是干预目标,核心组成部分,行动机制和交付障碍/促进者.
- 分析使用了行为变化轮框架来进行行为诊断和技术识别.
主要成果:
- 确定了改善ICU过渡期间药物安全性的必要变化.
- 开发了一个由七个组成部分组成的,以理论为基础的干预方案.
- 定义的作用机制,有针对性的变化和关键结果 (例如,减少多药,减少药物不良事件).
结论:
- 开发了一套核心干预方案,以改善转移到病房的ICU患者的药物安全性.
- 了解变化要求和促进者对于未来的干预测试和评估至关重要.
- 这项工作为完善和评估干预措施的有效性提供了基础.
更多相关视频
11:17Multiplex Therapeutic Drug Monitoring by Isotope-dilution HPLC-MS/MS of Antibiotics in Critical Illnesses
Published on: August 30, 2018
09:57A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
Published on: July 13, 2019
相关概念视频
Nursing Interventions II: Selecting and Classifying the Nursing Interventions
Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Drug Therapy
Antianxiety Medications
Nursing Clinical Information System
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
Planning Nursing Care I
Nursing Interventions I: Taxonomy of Nursing Interventions
A nursing intervention is a treatment or action based on scientific concepts and knowledge from the nursing, behavioral, and physical sciences. Identifying and prioritizing nursing interventions based on the desired outcome...
