医院前药物管理的工作系统:与救护车专业人员的定性混合方法研究
Kristian Ringsby Odberg1,2, Karina Aase3,4, Eystein Grusd3,5
1Department of Health Sciences Gjøvik, Norwegian University of Science and Technology, Gjøvik, Norway. Kristian.Odberg@ntnu.no.
BMC emergency medicine
|April 5, 2025
概括
医院前药物管理涉及复杂的因素. 改善协作,培训和技术对于在救护车服务中提供更安全的患者护理至关重要.
科学领域:
- 在医院前的护理.
- 药物管理安全性 药物管理安全性
- 卫生系统工程 卫生系统工程
背景情况:
- 在医院前环境中药物管理尚未得到充分理解.
- 救护人员面临着影响药物安全的独特挑战.
- 患者的危急状况和苛刻的环境增加了药物不良事件的风险.
研究的目的:
- 在救护车服务中提升对药物管理过程的了解.
- 探索在紧急医疗服务中药物管理的复杂性.
- 确定影响医院前护理中药物安全性的因素.
主要方法:
- 质量混合方法设计. 混合方法设计.
- 与11名救护车专业人员进行了半结构化采访.
- 114小时的观察数据收集.
- 以SEIPS工作系统模型为指导的分析.
- 综合演性-诱导性内容分析.
主要成果:
- 药物管理被缩减为准备,管理和患者转移阶段.
- 八个相互关联的类别影响了这个过程,包括技术,组织,环境和个人因素.
- 由于设备不足和流动任务委托而出现了绕过方法.
结论:
- 药物管理是一个连续,受物理,技术和组织因素的影响.
- 增强的流程需要改善协作,培训和技术可用性.
- 组织的适应性是提高救护车服务中药物安全性的关键.
相关概念视频
SBAR I: Understanding the Concept
4.2K
Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
Standardized methods of communication have been developed to ensure that information is...
Standardized methods of communication have been developed to ensure that information is...
4.2K
Drug Delivery: Enteral Route
353
The enteral drug administration involves three primary routes: oral, sublingual, and buccal. Oral ingestion is the most prevalent, safe, economical, and convenient method for drug administration. However, it has certain drawbacks, including limited absorption due to the drug's low water solubility or poor membrane permeability, possible emesis from GI mucosa irritation, destruction of drugs by digestive enzymes or low gastric pH, and irregular absorption along with food or other drugs.
353
One-Compartment Open Model for IV Bolus Administration: General Considerations
131
The one-compartment model is a pharmacokinetic tool that models the body as a single, uniform compartment, facilitating the understanding of drug distribution and elimination. This model is particularly beneficial for intravenous (IV) bolus administration, where the drug rapidly circulates throughout the body.
The drug's presence in the body is defined by an equation representing the difference between the rates of drug entry and exit. Key parameters—elimination rate constant,...
The drug's presence in the body is defined by an equation representing the difference between the rates of drug entry and exit. Key parameters—elimination rate constant,...
131
Flow Sheet
1.4K
Flowsheets are valuable tools in nursing documentation. They enable healthcare professionals to efficiently record and monitor various patient assessments and measurements in a consolidated format.
Here's a closer look at the examples of flowsheets commonly used by nurses:
Graphic Sheet Documentation:
Here's a closer look at the examples of flowsheets commonly used by nurses:
Graphic Sheet Documentation:
1.4K
SBAR II: Application of SBAR
4.2K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
4.2K
Two-Compartment Open Model: IV Bolus Administration
295
The two-compartment model for intravenous (IV) bolus administration illustrates drug distribution in the body, subdividing it into central and peripheral compartments. This model operates on the concept of two-compartment kinetics. The drug's plasma concentration shows a bi-exponential decline following IV bolus administration, signaling the presence of two disposition processes: distribution and elimination.
The disparity between drug input and the sum of drug transfer rates between...
The disparity between drug input and the sum of drug transfer rates between...
295


