初级麻醉提供者的特点和手术期间药物错误的风险因素:一个回顾性队列研究
Kohei Ikeda1, Masayoshi Koike2, Seirin Yamazaki2
1Department of Anesthesiology, The Jikei University School of Medicine, 3- 19-18, Nishi-Shimbashi Minato-ku, Tokyo, Japan. kikeda.jk@gmail.com.
BMC anesthesiology
|December 13, 2025
概括
麻醉师的经验显著影响了手术期间的药物错误. 经验较少的住院医生和实习生显示出更高的错误率,突出了在麻醉护理中需要加强监督和安全系统的需要.
科学领域:
- 麻醉学 麻醉学
- 患者安全 患者安全
- 医疗信息学 医疗信息学
背景情况:
- 术内药物错误虽然很少发生,但会给患者带来严重的伤害风险.
- 对这些错误的麻醉提供者层面和外科手术期间的风险因素的证据有限.
- 这项研究调查了麻醉提供者特征与药物错误之间的关联.
研究的目的:
- 评估麻醉提供者经验和团队组成是否与手术内药物错误相关.
- 为了确定与药物错误风险增加相关的特定麻醉提供者角色.
- 为改善外科手术期间药物安全性的策略提供信息.
主要方法:
- 对100,093例麻醉病例 (2011年8月至2023年12月) 的回顾性观察研究.
- 从电子麻醉记录和相关机构医疗记录中提取的数据.
- 费尔斯的惩罚后勤回归用于分析麻醉提供者配置 (临床医生,住院医生,实习生) 和其他因素.
主要成果:
- 观察到手术期间药物错误率较低 (0.10%).
- 在调整后,住院医生 (OR 2.713) 和实习医生 (OR 3.272) 与参加麻醉师相比,药物错误的几率明显更高.
- 没有其他因素,包括患者的ASA-PS或手术紧急情况,在统计学上与错误风险有关.
结论:
- 麻醉师的特点,特别是经验水平,在统计学上与手术内药物错误风险有关.
- 研究结果强调了需要加强对麻醉的监督和结构化的团队角色.
- 基于系统的保障措施对于改善外科手术期间药物安全至关重要.
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