在患者安全报告系统中分析药物错误报告的方法方法:范围审查
Joint Commission journal on quality and patient safety
|December 12, 2024
概括
本综述绘制了在医疗保健系统中报告的分析药物错误 (ME) 的方法. 它强调了多样化的定量,质量和先进的计算机技术,包括新的方法,如不成比例分析.
科学领域:
- 药监和患者安全 药监和患者安全
- 医疗信息学 医疗信息学
- 医疗错误分析 医学错误分析
背景情况:
- 药物错误 (ME) 严重影响患者的安全,并带来巨大的经济成本.
- 医疗保健和药监组织通过报告系统系统地收集ME数据,以提高患者安全和事件学习.
- 目前,报告系统中缺乏对中小企业的分析方法的全面概述.
研究的目的:
- 系统地识别,探索和绘制现有的关于用于分析医疗保健和药物监督系统中报告的药物错误 (ME) 的方法论的文献.
主要方法:
- 基于乔安娜·布里格斯研究所的方法的范围审查.
- 从2017年1月到2023年12月对主要电子数据库 (Embase,Medline,CINAHL,Cochrane Central) 和其他来源进行系统搜索.
- 由两名研究人员进行的独立选和数据提取.
主要成果:
- 对59篇出版物的分析显示,主要关注涉及成人和儿科患者 (79.7%) 的医院MES (57.6%),主要使用国家患者安全监测系统 (69.5%).
- 识别的方法包括定量方法 (39.0%),定性方法 (11.9%),混合方法 (37.3%) 和先进的计算机技术 (11.9%).
- 通常使用的方法包括描述性的定量分析和自由文本数据的内容分析. 新的方法如不成比例分析,文本挖掘,自然语言处理和人工智能正在出现.
结论:
- 范围审查确定了分析药物错误的方法的广泛和多样性.
- 未来的研究应该专注于评估新兴方法的应用和有效性,例如不成比例分析和先进的计算技术,用于药物错误分析.
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