关于转录错误的流行,特征和结果的回顾性研究:分析马来西亚国家药物错误报告系统的数据
Norazida Ab Rahman1, Ee Vien Low2, Fateha Kamaruddin3
1Institute for Clinical Research, National Institutes of Health, Ministry of Health Malaysia, Shah Alam, Malaysia.
Journal of pharmaceutical policy and practice
|July 17, 2025
概括
转录的药物错误是一个重大问题,剂量和药物错误是最常见的. 虽然大多数错误都没有到达患者,但了解原因可以提高安全性.
科学领域:
- 医疗保健安全 医疗保健安全
- 制药科学 制药科学
- 临床药房 临床药房
背景情况:
- 药物错误是医疗保健中可以预防的不良事件.
- 一些ME可能导致严重的患者伤害,残疾或死亡.
- 转录错误是一种特定类型的ME,具有重大影响.
研究的目的:
- 为了确定转录导致的药物错误的流行率.
- 描述这些转录错误的类型和结果.
- 确定医疗保健系统中转录错误的贡献因素.
主要方法:
- 马来西亚药物错误报告系统 (MERS) 的回顾性分析.
- 包括所有ME报告被列为"数据输入错误"从公共卫生设施 (2018-2022年).
- 对错误频率,特征和导致因素的描述性分析.
主要成果:
- 在265,194个ME中,4.5%的ME是转录错误 (12,049个案例).
- 剂量错误 (错误的剂量/频率) 占大多数 (68.5%),其次是药物错误 (13.3%).
- 大多数错误 (94.8%) 没有到达患者;工作/环境因素是主要原因.
结论:
- 报告的增加表明安全文化正在增长.
- 调查结果提供了关于马来西亚药房实践中转录错误的见解.
- 结果可以指导干预措施,以减少药物转录错误对患者的伤害.
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