关键合作伙伴优先考虑的安全门诊儿科药物使用措施
Jonelle Prideaux1,2, Maria T Britto3,4, Lisa M Vaughn5,6
1Division of Emergency Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
制定安全的儿童门诊药物管理措施至关重要. 父母和医疗保健专业人员优先考虑这些,强调需要护理人员参与质量改进.
科学领域:
- 儿童药理学
- 药物安全研究
- 医疗服务研究
背景情况:
- 由于复杂的剂量和使用,儿童门诊药物使用容易出现错误.
- 目前在门诊环境中测量药物错误不足以提高质量.
- 与利益相关方的合作对于确定和开发必要的测量工具至关重要.
研究的目的:
- 确定评估儿科门诊药物错误的基本措施.
- 让包括患者和家属在内的关键伙伴参与确定测量优先事项.
- 解决目前在家庭环境中测量错误的差距.
主要方法:
- 调查对象包括家长,药剂师,儿科医生,护士和领导人.
- 概念绘图是一种结构化的调查和分析过程,用于生成和优先考虑措施.
- 采访和概念映射数据进行了比较,以确定共同的主题和优先事项.
主要成果:
- 确定了七个主要的药物错误集群:处方,使用,发行,剂量/教育,监测,监测和家庭伙伴关系.
- 利益相关者优先考虑安全门诊药物使用和质量改善的卫生系统措施.
- 通过高风险人群突出了可行的家庭管理措施,分发错误,危害和数据细分.
结论:
- 对于家长和医疗保健专业人员来说,安全的家庭药物管理措施是最重要的.
- 目前没有可扩展的家庭管理措施,而且迫切需要.
- 未来的测量工具可能会包含护理人员的报告以捕捉家庭药物事件.
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