自动化药柜和住院病人的护士相关的药物错误:系统性审查
Arab Elsadig Salih Osman1, Nour Isleem2, Dena Al-Thani1
1Hamad Bin Khalifa University (HBKU), College of Science and Engineering, Doha, Qatar.
Exploratory research in clinical and social pharmacy
|February 20, 2026
概括
自动化配药柜 (ADC) 可以减少护士的药物错误. 虽然总体上提高了安全性和工作流程,但实施挑战和各种证据质量需要进一步研究.
科学领域:
- 医疗保健技术 医疗保健技术 医疗保健技术
- 护理实践的护理实践
- 患者的安全性 患者安全性
背景情况:
- 自动配药柜 (ADC) 对于医院安全的药物管理至关重要.
- 护士在药物输送中发挥着关键作用,使其与ADC的互动对减少错误至关重要.
研究的目的:
- 系统地审查ADC实施与住院病人的护士相关药物错误之间的关联.
主要方法:
- 在主要数据库 (PubMed,MEDLINE,Scopus,Google Scholar) 的系统搜索中,发现了16项研究 (2008-2025年).
- 研究包括定量,定性和混合方法设计,偏差风险由MMAT评估.
- 由于异质性,研究结果以叙事形式进行了综合.
主要成果:
- 定量数据表明,ADC的实施总体上减少了药物错误,特别是遗漏和错误的药物/剂量事件.
- 定性调查结果显示,工作流程,药物获取和护士信心有所改善.
- 一些研究报告了持续的低错误率,而另一些研究则指出了临时的工作流挑战.
结论:
- 当ADCs得到有效实施时,它们显示出提高药物安全性和护理工作流程的潜力.
- 限制包括观察设计,各种错误定义和不一致的报告.
- 需要更多的标准化,强大的研究来确认ADC的好处.
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