在重症监护室的抗生素残留药物错误:意识,原因和解决方案的定性探索
Paul Jarrett1, Fiona M Coyer2, Debbie Long3
1School of Nursing and Centre for Healthcare Transformation, Queensland University of Technology, Brisbane, Qld, Australia; Nursing and Midwifery Research Centre, Royal Brisbane & Women's Hospital, Brisbane, Qld, Australia.
概括
重症监护病房护士对药物残留误差 (RDE) 的认识很低,这是药物保留问题. 解决方案包括更好的教育,标准化的协议和改进的文档,以提高患者安全.
科学领域:
- 医疗安全 医疗安全
- 药理学 药理学是指药理学的学科.
- 护理实践 护理实践
背景情况:
- 药物残留误差 (RDE) 是药物在静脉注射系统中的无意保留.
- 在重症监护室 (ICU) 中,RDE 越来越令人担忧,特别是在使用抗生素时.
研究的目的:
- 探索ICU临床医生对RDE的认识.
- 为了确定RDE的感知原因.
- 确定减少RDE的潜在策略.
主要方法:
- 使用焦点小组与ICU护士进行定性研究.
- 对焦组数据进行主题分析,以确定关键主题.
- 探索了RDE的意识,促进因素和预防想法.
主要成果:
- 27名ICU护士参加了四个焦点小组.
- 确定了三个主要主题:对RDE的认识/感知,原因 (知识差距,工作量,不一致的做法) 和解决方案 (教育,协议,文档).
- 护士报告说,他们之前对RDE的认识有限.
结论:
- 强化护理护士对RDE的认识有限,并确定了各种导致因素.
- 提出的解决方案包括有针对性的教育,标准化的双重检查和改进的文档.
- 研究结果可以指导实用策略,以提高药物准确性和ICU患者安全.
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