[在二级医院实施高风险药物的安全实践的前后评估]
Irene Sollano-Sancho1, Juana Benedí González2, Beatriz Rubio-Cebrián3
1Servicio de Farmacia. Hospital Universitario Quironsalud Madrid. Madrid. España.
Revista espanola de salud publica
|September 4, 2025
概括
实施高风险药物的安全实践显著减少了医院环境中的错误. 这项研究强调了通过结构化干预和强化药物管理协议改善的患者安全.
科学领域:
- * 制药科学
- * 患者安全研究
- * 医疗管理
背景情况:
- * 药物错误带来重大风险,特别是在高度警的药物.
- *可以预防的药物错误需要不断改进机构的做法.
- 确保患者安全需要强有力的高风险药物处理策略.
研究的目的:
- 在中级医院建立高风险药物的安全管理实践,重点是儿科.
- 在药物处理的各个阶段实施和评估干预措施.
- 通过改善药物管理来提高患者的安全性.
主要方法:
- 一个三阶段的研究:干预前,干预后和干预后.
- 使用过程指标和安全自我评估问卷进行量化评估.
- * 统计验证包括奇平方测试,费舍尔精确测试,沙皮罗-威尔克测试和学生t测试.
主要成果:
- * 实施有针对性的行动:确定药物清单,减少不必要的表现,避免相似/相似问题,改善识别和警报.
- *数量指标的统计显著改善,指标3的中位数改善为83.77%.
- 在医院药物利用系统安全自评问卷中对所有评估项目进行了改进.
结论:
- 实施的干预措施成功改善了高风险药物的管理和整体工艺安全.
- 这种模式为其他医疗机构提供了基础,旨在提高患者安全.
- 通过系统的药物管理改进,该研究表明对患者的安全有积极影响.
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