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住院患者的静脉注射药物管理错误:最新的系统性审查
Sutha Rajakumar1,2, Retha Rajah1, Subramaniam Thanimalai3
1Department of Pharmacy, Hospital Seberang Jaya, Jln Tun Hussein Onn, Seberang Jaya, Pulau Pinang, Malaysia.
Journal of evaluation in clinical practice
|June 23, 2025
概括
静脉注射 (IV) 药物错误,包括错误的剂量和途径,在医院中经常发生,从5.0%到62.9%不等. 标准化报告和解决人类和系统因素对于提高患者安全至关重要.
科学领域:
- 医疗保健的质量和安全
- 临床药房 临床药房
- 患者药物管理管理
背景情况:
- 静脉注射 (IV) 药物管理由于直接进入全身而带来重大风险.
- 识别静脉注射药物错误及其患病率对于患者安全干预至关重要.
研究的目的:
- 系统地审查和综合现有关于与住院患者静脉注射相关的药物错误的文献.
主要方法:
- 在PubMed,Ovid Medline和CINAHL进行了全面的文献搜索,截至2023年7月.
- 包括的研究以英语出版,专注于人类受试者,并使用纽卡斯尔-太华尺度 (NOS) 评估质量.
- 这项系统性审查已在PROSPERO注册 (CRD42023469352).
主要成果:
- 包括来自12个国家的23项研究,主要来自教学或大学附属医院.
- 静脉注射错误的发生率在5.0%至62.9%之间,包括稀释剂,剂量,途径,速率,技术,遗漏和时间的错误.
- 报告中的显著异质性和不同环境的不同流行率被观察到.
结论:
- 静脉注射药物错误率受到研究设计,设置和患者群体的影响.
- 对于静脉注射药物错误,需要标准化定义,报告程序和可靠的追踪方法.
- 人类因素,系统缺陷和环境压力因素导致药物错误,需要进一步研究以提高患者安全.
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