在大学医院引入单位剂量分配 - - 对药物安全性和分配时间的影响
Hanne Katriina Ahtiainen1,2, Carita Lindén-Lahti1,2, Susanna Heininen1
1Faculty of Pharmacy, University of Helsinki, Helsinki, Finland.
Risk management and healthcare policy
|March 17, 2025
概括
引入药物的单位剂量 (UD) 显著减少了内科病房的药物和程序错误. 虽然条形码扫描得到了改进,但每种药物的发行时间增加了,塑料垃圾是一个问题.
科学领域:
- 药房实践的做法 在药房实践.
- 患者安全 患者安全
- 医疗保健技术 医疗保健技术 医疗保健技术
背景情况:
- 单位剂量 (UD) 简化了药物管理,并通过条形码扫描实现了电子文档.
- 手动的药物治疗过程可能会导致错误和低效.
研究的目的:
- 评估引入单位剂量对药物安全性的影响.
- 评估在UD实施后花在药物发行时间上的变化.
主要方法:
- 在住院内科病房进行了前后观察性研究.
- 在UD引入前后记录了药物和程序错误,以及分发时间.
- 一项调查评估了护士对 UD 发行药物的看法.
主要成果:
- 药物错误从3.2%降至1.7%,程序错误从37.4%降至13.9% (p<0.05).这些错误的发生率都比较低.
- 条码扫描问题显著减少 (21.4%至1.8%,p<0.05).
- 每名患者的中位发行时间没有变化,但每种药物的时间增加;护士报告处理问题和浪费问题.
结论:
- 试点单位剂量明显减少了药物和程序错误,提高了电子药物管理.
- 需要进一步研究UD在自动化系统和减少塑料垃圾的策略中的影响.
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