减少门诊医疗中心的药物错误
Stacy Bentil1, Tuba Sengül, Holly Kirkland-Kyhn
1Author Affiliations: School of Nursing, Central Connecticut State University, New Britain, Connecticut (Dr Bentil); Fundamental Nursing Department, Koç University School of Nursing, Istanbul, Türkiye(Dr Sengül); Betty Irene Moore School of Nursing at UC Davis, Sacramento, California (Dr Kirkland-Kyhn).
Journal of nursing care quality
|April 1, 2025
概括
实施安全区协议显著减少了门诊护理中的药物错误. 这项质量改进计划通过尽量减少分心,将药物错误减少了75%以上.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者安全 患者安全
- 门诊护理医学 门诊护理医学
背景情况:
- 药物错误在门诊护理设置中构成重大风险.
- 药物治疗过程中出现的中断导致门诊单位的高错误率.
研究的目的:
- 评估安全区协议在减少药物错误方面的有效性.
- 为了解决因在门诊医疗单位中断引起的高药物错误率.
主要方法:
- 通过使用安全区协议进行了一项质量改进项目.
- 该协议涉及创建专门的药物准备区域,使用管理检查清单,并实施员工和患者教育.
- 护士,认证护士助理和单位秘书在协议开发中进行了合作.
主要成果:
- 在90天的实施期间,分心减少了20%.
- 药物错误从每 1000 剂剂的0.97 事件减少到每 1000 剂的0.20 事件.
- 在协议实施后观察到药物错误的显著减少.
结论:
- 安全区协议有效地减少了在门诊环境中的药物错误.
- 该协议的灵活性和适应性使其成为其他医疗环境的可复制模板.
- 减少中断的策略对于提高门诊护理中的患者安全至关重要.
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