与马来西亚克兰丹重症监护护士没有报告药物管理错误相关的因素:一个横截面研究
Muhammad Solehuddin Ishak1, Mohd Ismail Ibrahim2
1Department of Community Medicine, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, Kota Bharu, Kubang Kerian, Kelantan, 16150, Malaysia.
BMC nursing
|July 18, 2025
概括
高负荷单位的重症护理护士,或没有个人或观察到的药物管理错误 (MAE) 的护士,不太可能报告这些事件. 促进报告文化对于患者安全至关重要.
科学领域:
- 医疗保健质量和患者安全研究.
- 护理实践和药物管理.
- 在第三级护理机构的卫生系统.
背景情况:
- 患者安全在医疗保健中至关重要,药物管理是重点关注的关键领域.
- 护士在确保安全的药物治疗实践中发挥着关键作用.
- 了解报告药物管理错误 (MAE) 的障碍对于改善医疗保健质量至关重要.
研究的目的:
- 调查影响重症监护护护士不报告药物管理错误 (MAE) 的因素.
- 确定护士及其工作环境的特定特征,与MAE报告不足有关.
- 提供基于证据的建议,以加强重症监护机构的报告文化.
主要方法:
- 在马来西亚克兰丹的公共三级医院中采用了横截面研究设计.
- 比例随机抽样针对重症监护护士,不包括行政人员或不可用的工作人员.
- 基于调查问卷数据,使用二进制后勤回归分析来识别与MAE不报告相关的重要因素.
主要成果:
- 共有424名重症监护护士参与了这项研究,平均服务时间为16.83年.
- 在高患者负荷单位 (如急诊室,高依赖病房) 的护士更有可能不报告MAE (AOR=1.91).
- 没有MAE个人经验的护士 (AOR=2.10) 或没有目睹过错误的护士 (AOR=1.98) 也显示出较高的不报告率.
结论:
- 高比例患者单位的重症护理护士,以及那些缺乏个人或目击MAE经验的护士,倾向于避免报告事件.
- 在这些单位内培养强大的报告文化对于提高患者安全至关重要.
- 建议支持来自政府机构的护士匿名报告事件,以提高医疗保健的质量和安全.
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