护理时间和人员对药物错误的影响:行政数据的横截面分析
Mutsuko Moriwaki1,2, Michiko Tanaka3, Masayuki Kakehashi4
1Quality Management Center, Institute of Science Tokyo Hospital, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, Japan.
Nursing reports (Pavia, Italy)
|January 24, 2025
概括
与之前的证据相反,在日班期间,每名患者的护理时间增加时,药物错误增加. 需要对护士人员和患者安全进行进一步的研究,以了解护士的职责和忙碌.
科学领域:
- 医疗保健管理的管理
- 护理实践 护理实践
- 患者安全 患者安全
背景情况:
- 药物错误是医疗保健中不良事件的重要原因之一.
- 在日本病房设置中,与护理时间相关的药物错误存在有限的研究.
- 了解病房特征对药物错误的影响至关重要.
研究的目的:
- 为了调查归因于护士的药物错误.
- 量化评估病房活动,特别是护理职责中的"忙碌度".
- 分析日本医院护理时间和药物错误之间的关系.
主要方法:
- 从10个国家医院组织机构收集的数据 (2019年4月-2020年3月).
- 使用的诊断程序 结合系统,事件报告和护士人员/工作时间数据.
- 通过多变量分析分析了27,629个病房日和88,475名患者.
主要成果:
- 整体药物错误率为13.71%.
- 在日班期间增加每名患者的护理时间与更高的药物错误几率相关 (OR=1.31,p<0.01).
- 平均护理时间为1.95小时 (无错误组) 和2.06小时 (错误组) 在白天班的每位患者.
结论:
- 结果表明,日班期间增加的护士-病人时间和药物错误之间存在反直觉的关联.
- 需要对护理职务忙碌度和护士患者比例进行进一步的调查.
- 优化护士人员和时间分配对于提高患者安全和减少药物错误至关重要.
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