从2011年到2021年,涉及到与药物相关的不当行为案件中的门诊药物错误和不良事件
Susan Boisvert1, Melissa Nelson, Jacqueline Ross
1Doctors Company, Chagrin Falls, Ohio.
Journal of patient safety
|January 14, 2025
概括
门诊护理中的药物不当行为索赔是复杂的,通常涉及临床判断和沟通问题. 虽然某些药物的索赔减少了,但随着时间的推移,药房发行错误增加了.
科学领域:
- 医疗保健不当行为 医疗保健不当行为
- 患者安全 患者安全
- 门诊护理医学 门诊护理医学
背景情况:
- 与药物相关的医疗失误索赔在门诊环境中是一个重大问题.
- 了解这些主张的特点对于提高患者安全和降低医疗保健成本至关重要.
研究的目的:
- 为了确定与药物相关的医疗失误索赔在门诊护理中的具体特征.
- 为了比较两个不同的时间段 (2011-2015年和2016-2021年) 的索赔趋势.
主要方法:
- 从2011年至2021年,对504个关闭的门诊医疗药物相关的不当行为事件进行了回顾性描述性分析.
- 分析的数据包括人口统计,伤害严重程度,药物,促成因素和索赔处理.
- 通过使用Candello Explore工具进行趋势分析来检查结果.
主要成果:
- 家庭医疗和内科医疗服务占索赔人数最多.
- 抗感染剂,麻醉剂和抗凝剂是最常涉及的药物.
- 声明是多因素的,临床判断 (55%) 和沟通 (48%) 是主要的贡献因素.
- 在后期 (2016-2021) 观察到涉及抗凝剂和麻醉剂的索赔减少,随着药房发行错误的统计显著增加.
结论:
- 门诊护理中的不良药物事件是多因素的,源于药物订购,管理,患者教育,坚持和药房发行方面的问题.
- 识别这些驱动因素对于制定有针对性的干预措施以减轻不当行为风险至关重要.
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