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条码辅助药物管理对非单位剂量设置中的药物管理错误的影响:系统性审查
Weicong Tan1, Gordon Bingham2, Erica Tong3
1Faculty of Information Technology, Monash University, Clayton, Victoria, Australia.
条码辅助药物管理 (BCMA) 显示了在非单位剂量设置中减少药物管理错误 (MAE) 的潜力. 然而,证据较弱至中度,一些错误可能会增加.
科学领域:
- 医疗保健的质量和安全
- 临床信息学 临床信息学
- 患者安全 患者安全
背景情况:
- 药物管理错误 (MAE) 仍然是医疗保健中的一个重大问题.
- 单元剂量分配可以影响MAE率,需要在非单元剂量设置中进行研究.
- 条码辅助药物管理 (BCMA) 系统旨在提高药物安全性.
研究的目的:
- 系统地审查BCMA对MAE在非单位剂量分配环境中的影响.
- 评估有关BCMA在减少MAE的有效性方面的证据质量.
- 确定受BCMA实施影响的特定类型的MAE.
主要方法:
- 从主要数据库 (MEDLINE,EMBASE等) 中对英语文章进行系统审查. 在2024年2月之前.
- 从单剂量发放设置中排除研究以隔离BCMA的效果.
- 使用ROBINS-I V2进行偏差风险评估,并对发现进行叙事综合.
主要成果:
- 审查中包括了四篇论文,报告了异质的MAE类别.
- 较弱到中等的证据表明,BCMA可以减少某些MAE.
- 一项研究表明,BCMA增加了错误的管理时间错误的证据很弱.
结论:
- 在非单位剂量设置中,BCMA显示了降低特定MAE的潜力,但目前的证据是微弱到中度的.
- 报告发现的最小数量和错误类别的异质性需要进一步调查.
- 需要进行更广泛的多中心研究来加强证据,特别是与剂量相关的MAE.
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