开发和评估一个多方面的干预计划,以预防护士的药物管理错误
1Department of Nursing, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul, Korea.
Journal of patient safety
|April 11, 2025
概括
基于系统工程倡议患者安全 (SEIPS) 模型的新干预计划显著改善了护士的患者安全文化和药物安全合规性. 虽然直接药物管理错误 (MAE) 率没有变化,但该研究验证了基于系统的方法来提高药物安全性.
科学领域:
- 护理 护理 护理
- 患者安全 患者安全
- 医疗保健系统工程 系统工程
背景情况:
- 药物管理错误 (MAE) 是医疗保健中的一个重大问题.
- 现有的干预措施往往侧重于个人表现,而不是系统因素.
研究的目的:
- 开发和评估一个多方面的干预计划,使用系统工程倡议患者安全 (SEIPS) 模型.
- 为了防止在医院环境中的护士中发生MAEs.
主要方法:
- 该干预计划是使用分析,设计,开发,实施,评估 (ADDIE) 模型和专家Delphi调查开发的.
- 使用了73名护士 (实验组和对照组) 的测试前后测试设计.
- 在3个月的干预之前和之后,评估了患者安全文化,药物安全实践和错误率.
主要成果:
- 在患者安全文化认知 (P <0.001) 和药物安全合规性 (P <0.001) 中观察到显著改善.
- 对于改善的文化和合规性,都注意到了很大的效果大小.
- 没有发现自我报告的MAE率的统计学意义上的变化,可能是由于干预时间短.
结论:
- 基于SEIPS的干预有效地提高了护士的患者安全意识和药物安全合规性.
- 该研究强调了基于理论的系统级干预措施在提高药物安全性的价值.
- 未来的努力应专注于解决超越个人护士教育的系统性问题,以进一步减少MAE.
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