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从一般和三级医院的药物错误中产生不良事件的风险:一个横截面设计
1Sustainable Health Research Institute, College of Nursing, Gyeongsang National University, Seoul, Republic of Korea.
在大型普通医院和重症监护病房中,药物错误带来更高的风险. 儿科患者面临更高的风险,而白天班和改进的安全系统可以减少不良事件.
科学领域:
- 医疗保健质量和安全研究
- 临床风险管理临床风险管理
- 医疗服务研究 医疗服务研究
背景情况:
- 了解医疗错误对于预防药物错误和提高患者安全至关重要.
- 随着药物错误的原因,类型和发生率的不断变化,需要持续的系统分析.
- 关于韩国患者安全事件的有限系统数据与发展信息共享系统形成鲜明对比.
研究的目的:
- 分析影响韩国普通和三级医院因药物错误而造成不良事件风险的因素.
- 利用2018-2022年国家患者安全统计数据来确定关键的风险决定因素.
主要方法:
- 对8606份药物错误报告的二次分析.
- 费尔斯对逻辑回归进行了惩罚,以确定与医院和患者特征相关的风险因素.
- 不包括大流行年 (2020-2021年) 的敏感性分析,以评估时间影响.
主要成果:
- 在具有500床或以上的普通医院中,不良事件的风险更高 (1.5倍). 急诊室和ICU的风险最高.
- 与夜班相比,日班提供了保护作用;随着时间的推移 (2018-2022),风险下降.
- 流行年在高急性地区增加了风险;儿科患者面临的风险是整体外科手术的1.7倍.
结论:
- 根据医院类型,位置,时间和患者人口统计数据,需要量身定制的干预措施.
- 对于高急性区域的部门特定的安全策略和优化人员配置至关重要.
- 针对特定年龄的药物治疗方案和不断改进的安全系统对于防止错误和提高患者安全至关重要.
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