埃塞俄比亚护士中药物管理错误的流行及其决定因素:系统审查和元分析
Muluken Amare Wudu1, Ewunetie Mekashaw Bayked2, Yemane Eshetu Bekalu3
1Department of Pediatrics and Child Health Nursing, College of Medicine and Health Sciences, Wollo University, P. O. Box: 1145, Dessie, Ethiopia. 385mule@gmail.com.
BMC nursing
|May 16, 2025
概括
药物管理错误 (MAE) 影响了埃塞俄比亚57%的护士,严重影响了患者的安全. 关键因素包括经验不足,中断和人员不足,需要紧急干预以改善护理.
科学领域:
- 护理实践 护理实践
- 患者安全 患者安全
- 医疗保健的质量 医疗保健的质量
背景情况:
- 药物管理错误 (MAE) 在埃塞俄比亚等低收入国家对患者安全构成重大风险.
- 以前的审查范围有限,过时,需要进行全面的元分析.
研究的目的:
- 确定埃塞俄比亚护士中MAE的综合流行率.
- 确定在这个人群中导致MAE的关键决定因素.
主要方法:
- 2010年至2024年间在埃塞俄比亚发表的观察性研究的系统元分析.
- 在PubMed,Scopus,EMBASE和谷歌学者中进行的搜索,使用Joanna Briggs研究所的检查清单进行质量评估.
- 用STATA 17与随机效应模型分析数据,以组合MAE的流行率和决定因素.
主要成果:
- 埃塞俄比亚4,314名护士中MAE的综合流行率为57% (95%CI:49-64%).
- 重要决定因素包括工作经验不足 (OR=3.64),中断 (OR=3.53),缺乏指导方针 (OR=2.14),培训不足 (OR=3.22),夜班 (OR=3.89),以及高护士患者比率 (OR=2.82).
结论:
- 埃塞俄比亚的MAE患病率很高,需要紧急干预.
- 解决护士经验,工作量,培训和遵守指南等因素对于减少MAE和提高患者安全至关重要.
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