挪威救护车服务中的药物管理错误:关于团队培训计划影响的准实验性研究
Kjetil Myhr1,2, Randi Ballangrud3, Jan Porthun3
1Department of Health Sciences, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Gjøvik, Norway. kjetil.myhr@ntnu.no.
Scandinavian journal of trauma, resuscitation and emergency medicine
|January 24, 2026
概括
团队培训没有减少救护车服务中的药物管理错误 (MAE). 错误的药物错误在干预后增加,这表明单独的团队培训不足以提高患者安全.
科学领域:
- 紧急医疗 紧急医疗
- 患者安全 患者安全
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 由于时间紧迫的环境,救护车服务在药物管理方面面临挑战.
- 药物管理错误 (MAE) 是医院前环境中患者安全的一个重大问题.
- 提高绩效和提高患者安全的团队策略和工具 (TeamSTEPPS) 是一个以证据为基础的计划,具有经过验证的医院效益.
研究的目的:
- 评估TeamSTEPPS干预对挪威救护车服务中药物管理错误频率的影响.
- 确定在医院前环境中影响MAE的因素.
主要方法:
- 在挪威的救护车服务中采用了一种准实验性的前后研究设计.
- 实施了一个为期九个月的TeamSTEPPS团队培训计划.
- 独立评估人员审查了电子患者日志的MAE,这些MAE是由药物管理的"五个权利"的偏差定义的.
主要成果:
- 总体而言,30.6%的救护车任务至少涉及一个MAE;错误的剂量和错误的药物是最常见的.
- TeamSTEPPS干预没有显著改变整体MAE频率 (28.9%的干预前与32.2%的干预后).
- 错误的药物错误在干预后显著增加 (11.2%至19.1%),并且服用药物的数量是错误的关键预测因素.
结论:
- 仅仅是TeamSTEPPS团队训练并没有减少挪威救护车服务中的MAE.
- 这些发现表明,团队培训不足以解决医院前药物错误的复杂原因.
- 未来的干预措施应纳入组织改进,如加强标准操作程序和电子文档,以提高药物准确性和错误检测.
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