在外科护理中的药物错误:一个范围审查
Chamila Wickramasinghe1,2, Sharon Latimer3, Brigid M Gillespie4,5
1School of Nursing and Midwifery, Griffith University, Gold Coast, Queensland, Australia.
Journal of clinical nursing
|March 9, 2026
概括
在外科手术期间,与护士相关的药物错误很常见,从6.4%到33.7%不等. 解决工作量和沟通等因素对于患者安全至关重要.
科学领域:
- 护理 护理 护理
- 患者安全 患者安全
- 医疗保健管理的管理
背景情况:
- 在外科手术期间出现的药物错误对患者安全构成重大风险.
- 与其他医疗环境相比,这些错误的探索较少.
- 了解与护士相关的药物错误对于改善术后护理至关重要.
研究的目的:
- 系统地绘制和特征护士相关的药物错误在外科外科医疗机构.
- 确定这些错误的发生率,类型和导致因素.
- 为提高术后期患者安全的策略提供信息.
主要方法:
- 使用Arksey和O'Malley框架进行了全面的范围审查.
- 在2024年10月,在五个主要数据库和两个灰色文献平台进行了搜索.
- 来自7篇包含全文文章的数据被绘制成图表,使用PAGER框架进行合成,并用石川图表说明.
主要成果:
- 在外科手术期间,与护士相关的药物错误的发生率从6.4%到33.7%不等.
- 常见的错误包括错误的药物治疗路线,错过的/延迟的剂量以及与错误沟通相关的过量剂量.
- 确定的主要因素是工作负载压力,沟通故障,系统缺陷和组织影响 (领导力,安全文化).
结论:
- 术后护理中的药物错误是一个重要的,但研究不足的患者安全问题.
- 需要采用多方面的方法,整合人为因素,沟通策略,工作量管理和强有力的领导力.
- 基于这些因素的有针对性的干预措施可以提高外科手术期间的安全性和患者的结果.
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