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药物安全管理中的双重检查:英国医院的政策和实践
Daisy Halligan1, Hana Shamsan1, Francesca Wilson2
1Bradford Institute for Health Research, Yorkshire Quality and Safety Research Group, NIHR Yorkshire and Humber Patient Safety Research Collaboration, Bradford, UK.
Journal of health services research & policy
|February 4, 2026
概括
双重检查的药物管理政策在英国医院之间存在很大差异,实践中的不一致性和有效性缺乏证据. 需要进一步的研究来规范政策和优化患者护理.
科学领域:
- 医疗保健政策 医疗保健政策
- 患者安全 患者安全
- 药物管理 药物管理
背景情况:
- 双重检查药物管理是一种常见的错误预防策略.
- 尽管广泛使用,但其有效性尚未得到充分证实,并且可能会扰乱护理.
- 目前英国医院的政策缺乏统一的方法,特别是对于非高风险药物.
研究的目的:
- 评估英格兰NHS急性医院信托机构的双重检查政策的程度和变化.
- 调查被认为的实践与现有政策的协调程度.
- 识别有关药物管理政策的理解差距.
主要方法:
- 在线调查向药物安全官员 (MSO) 分发.
- 信息自由要求被发送到118个NHS急性医院信托基金的政策.
- 分析了政策数据和调查答复.
主要成果:
- 药物的双重检查政策在信托之间有很大差异.
- 主要经营者报告说,在实践中经常偏离政策.
- 控制药物,静脉注射药物和儿童药物/复杂计算最常被双重检查,但注射药物和胰岛素的政策不同.
结论:
- 双重检查政策的广泛变化表明,可能缺乏强有力的证据.
- 需要进一步的研究来确定在特定情况下双重检查的有效性.
- 规范政策可以减少工作量,并改善以患者为中心的护理时间.
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