肠道药物管理的检查清单的有效性:一个随机对照试验
1Vocational School of Health Services, Yüksek İhtisas University, Ankara, Turkey.
一个新的检查清单显著减少了接受肠道营养的患者的药物错误. 该工具通过在重症监护病房中通过输送管标准化药物给药来提高患者的安全性.
科学领域:
- 临床药房 临床药房
- 患者安全 患者安全
- 护理实践 护理实践
背景情况:
- 当口服摄入不可能时,肠道营养至关重要.
- 由于缺乏替代品,药物通常通过肠道食管给予.
- 在肠道药物管理中不一致的护理实践会给患者带来安全风险.
研究的目的:
- 评估新开发的肠道药物管理检查清单的有效性.
- 为了减少与肠道食管相关的药物管理错误.
主要方法:
- 一项随机,受控,三盲实验研究,涉及69名重症监护病房的护士.
- 根据国际指导方针 (ASPEN,ESPEN,BAPEN) 制定一个检查清单.
- 使用检查清单的干预组与对照组之间的错误率比较.
主要成果:
- 与干预组 (26.88 ± 17.56) 的对照组相比,干预组在干预后显示药物管理错误的统计学显著减少 (2.21 ± 4.05).
- 干预前的错误率在各组之间是相似的 (38.23 ± 15.08与37.49 ± 18.42).
- 检查清单的实施导致总错误率大幅下降.
结论:
- 肠道药物管理检查清单有效地减少了通过食管输送药物的错误.
- 这份检查清单提供了一种标准化的方法,增强了重症监护机构护士的安全药物治疗实践.
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