干扰和分心如何影响药房实践? 对它们的影响和在发药方面的干预措施进行范围审查
Meaza Ayanaw1, Angelina Lim1, Harjit Khera1
1Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, Parkville, VIC, 3052, Australia.
Research in social & administrative pharmacy : RSAP
|May 22, 2025
概括
药剂师经常面临中断和分心,影响药品的准确性和患者的护理. 有限的干预措施存在,需要改进基本的配药习惯和工作流调整以减少错误.
科学领域:
- 药房实践 在药房实践.
- 患者安全 患者安全
- 药物的错误 药物的错误
背景情况:
- 药剂师是减少药物错误的关键,他们可以识别30-70%的订单错误.
- 由于中断和分心,分配错误发生,每2-6分钟发生一次.
- 这些干扰严重影响药房工作流程和患者的治疗结果.
研究的目的:
- 审查当前关于药房实践中断和分心的知识.
- 确定这些干扰的频率,类型和影响.
- 探索现有和拟议的缓解策略.
主要方法:
- 按照乔安娜·布里格斯研究所 (JBI) 的方法进行了全面的范围审查.
- 在Ovid Medline,Web of Science,Embase,CINAHL和Scopus数据库中进行的搜索.
- 51项内容分析包括研究以确定主题.
主要成果:
- 药剂师和技术人员每小时经历5-20+次中断.
- 常见的中断包括电话,客户询问和员工中断.
- 影响包括对药品发放,工作量,幸福感和患者等待时间的影响.
结论:
- 存在有限的干预和教育计划,以减轻药房工作场所的干扰.
- 需要改善发行习惯,减少药剂师在发行过程中直接接触药剂师.
- 避免单个药剂师轮班和定义角色等策略可能会减少错误.
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