在急性护理中处方和管理错误对儿童的伤害:一个多学科小组评估小组
Virginia Mumford1, Magdalena R Raban2, Erin Fitzpatrick2
1Australian Institute of Health Innovation, Macquarie University, Sydney, NSW, Australia. virginia.mumford@mq.edu.au.
Drug safety
|October 6, 2025
概括
儿童的药物错误会造成实际伤害,特别是在年轻患者和静脉注射抗生素剂量方面. 需要有针对性的干预措施来减少这些可预防的伤害.
科学领域:
- 儿科患者的安全性
- 药物错误分析 药物错误分析
- 临床药理学 临床药理学
背景情况:
- 药物错误是儿童住院伤害的重要原因之一.
- 在儿科患者中识别和分类药物错误存在挑战.
- 关于药物错误对儿童造成的实际伤害的数据有限,大多数研究都集中在潜在的伤害上.
研究的目的:
- 识别和描述主要儿科医院处方和药物管理错误造成的实际伤害.
- 利用多学科小组进行准确的危害评估.
主要方法:
- 从回顾性审查 (处方错误) 和前性直接观察 (处方错误) 中审查的药物错误数据.
- 对于研究数据集来说,选择了可能造成严重伤害的错误,并确认了患者暴露.
- 多学科小组审查了566个案例研究,以确定实际的伤害及其严重程度.
主要成果:
- 在89个案例中确定了实际伤害,其中48%是中度伤害和43%是轻微伤害.
- 在涉及危害的案件中,抗菌药物和剂量错误是最常见的.
- 年轻的患者,特别是12个月以下的患者,面临着因药物错误而造成伤害的风险明显更高.
结论:
- 较高的实际伤害率与年轻患者的药物错误,错误的剂量处方和静脉注射抗生素的使用有关.
- 结果突出了开发有针对性的干预措施的高风险区域,以减少儿科患者的可预防伤害.
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