在急诊室内静脉注射药物错误的患病率和贡献因素:一项前性观察性研究
Shirlyn Tan1, Lih Jiuan Teh1, Safura Mohd Mokhtaruddin2
1Department of Pharmacy, Hospital Tengku Ampuan Rahimah, Ministry of Health Malaysia, Jalan Langat, Klang, Selangor 41200, Malaysia.
概括
药物管理错误 (MAE) 在急诊室 (ED) 经常发生,错误的药物管理率是最常见的. 非语言命令和不良标签显著导致这些静脉注射MAE.
科学领域:
- 紧急医疗 紧急医疗
- 患者安全 患者安全
- 药理学 药理学是指药理学的学科.
背景情况:
- 由于高压环境,急诊室 (ED) 在药物管理方面面临挑战.
- 药物管理错误 (MAE) 是一个关键问题,影响患者安全和医疗保健成本.
- 在ED中了解静脉注射MAE对于改善患者护理至关重要.
研究的目的:
- 测量ED中静脉注射MAE的频率.
- 为了确定在制备和管理过程中导致静脉注射MAE的因素.
主要方法:
- 展望性研究涉及对222种静脉注射药物制剂和药物管理的直接观察,在马来西亚的两个ED中进行.
- 收集有关药物治疗过程的数据,并记录错误.
- 多变量后勤回归分析以确定导致因素.
主要成果:
- 在83.3%的观察药物中检测到MAE的高患病率,影响了86.7%的患者.
- 最常见的错误包括错误的注射速率 (55.8%) 和错误的制备技术 (20.8%).
- 非语言命令和不充分的标签与MAE有显著的关联.
结论:
- 静脉注射MAE在ED环境中非常普遍.
- 非语言命令和药物标签不良是MAE的重要原因.
- 建议包括实施标签政策,培训,审计,错误报告系统和技术解决方案,以提高患者安全.
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