多方面的方法来减少重复治疗错误在急诊室
Huiling Huang1, Srivatsava Sunku2, Hui Shan Ong2
1Department of Emergency Medicine, Changi General Hospital, Singapore huiling145@hotmail.com.
BMJ open quality
|December 21, 2024
概括
通过质量改进项目,药物错误,特别是急诊室 (ED) 的治疗重复,显著减少了50%. 该倡议通过解决根本原因和实施有针对性的干预措施,提高了患者安全,并优化了医疗保健资源的使用.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者安全 患者安全
- 减少药物错误 减少药物错误
背景情况:
- 药物错误是全球可避免伤害的主要原因,急诊室 (ED) 由于患者数量高和紧急护理需求,特别容易受到伤害.
- 治疗重复,定义为同一或药理等效药物的同时处方,在2019年1月至2022年7月期间,成吉总医院ED的药物错误占31%.
- 这些错误会损害患者的安全,增加医疗保健成本,并导致工作人员的压力.
研究的目的:
- 实施质量改进 (QI) 项目,旨在在ED干预后三个月内将治疗重复错误减少50%.
- 识别和解决ED环境中药物错误的根本原因.
- 建立可持续的战略,以保持降低的错误率.
主要方法:
- 从2022年8月到2023年12月,采用了四阶段的QI方法:问题识别 (审计2019年1月至2022年7月),根本原因分析 (RCA),干预开发和实施以及可持续性规划.
- 最初的审计确定了治疗重复作为一种显著的药物错误类型.
- RCA指出系统知识缺陷,IT流程不足,环境因素,政策差距和护理协调问题是关键因素.
主要成果:
- 该QI项目成功实现了其主要目标,在干预后将治疗重复错误率降低了50%.
- 特定的药物类别经历了治疗重复错误的完全消除.
- 干预,利益相关者参与和持续的审计有助于持续改善药物安全.
结论:
- 经过彻底的根本原因分析,有针对性的干预措施是有效的,可以显著减少药物错误,如ED的治疗重复.
- 积极的利益相关者参与和对QI的结构化方法对于成功实施和持续改善患者安全至关重要.
- 持续监测和策略的调整对于保持更安全的医疗环境和防止未来的药物错误至关重要.
相关概念视频
Methods of Documentation VI: Case Management Model
559
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
559
Drug Therapy
38
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
38
Ethical Dilemmas II
923
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
923
Methods of Documentation VII: EMR
824
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
824
Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing
7.7K
Focusing involves centering a conversation on a message's critical elements or concepts. Focusing is valuable if the talk is vague or patients begin to repeat themselves. Sometimes, when patients are asked about their symptoms, they may go off-topic and try to tell their entire life story. Respectfully, the nurse should bring the conversation back into focus.
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
7.7K
Methods of Documentation III: PIE
1.3K
Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
1.3K


