护士在综合护理单位使用药物管理的五种权利:最佳实践实施项目
Jaclyn M Smith1,2, Linda Upchurch1,2
1School of Nursing, University of Mississippi Medical Center, Jackson, MS, USA.
JBI evidence implementation
|February 28, 2025
概括
通过教育和视觉辅助工具,护士改善了对药物管理的五项权利的遵守. 该倡议旨在减少药物错误,提高医院患者的安全.
科学领域:
- 护理实践 护理实践
- 患者安全 患者安全
- 药物管理 药物管理
背景情况:
- 药物管理错误是全球患者伤害的重要原因之一.
- "五个权利" (患者,药物,途径,剂量,时间) 对于安全的药物实践至关重要.
- 在美国,每年药物错误的数量从7000到9000不等.
研究的目的:
- 加强护士遵守药物管理的五项权利.
- 改善急性护理医院环境中的药物安全协议.
主要方法:
- 使用JBI证据实施框架工具,采用了审计和反策略.
- 实施前和后的审计评估了遵守八个最佳实践标准.
- 实施了教育干预和视觉提醒,以解决发现的障碍.
主要成果:
- 基线审计显示,在检查药物有效期和患者口头识别方面的遵守率较低.
- 实施后的审计表明,对药物管理最佳实践的遵守得到了改善.
- 教育举措和视觉提醒在提高坚持方面是有效的.
结论:
- 员工教育和视觉提醒显著改善了对药物管理五项权利的遵守.
- 建议每年进行能力培训,以维持最佳实践并防止药物错误.
- 加强药物管理协议可以确保患者护理的持续质量和安全.
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