Hatcher Irene, Sullivan Mark, Hutchinson James, Thurman Susan, Gaffney F Andrew
Case Management, Vanderbilt University Medical Center, 1161 21st Avenue S., Nashville, TN 37232-2415, USA.
J Nurs Adm. 2004 Oct;34(10):437-9. doi: 10.1097/00005110-200410000-00001.
Improving medication safety at the point of care--particularly for high-risk drugs--is a major concern of nursing administrators. The medication errors most likely to cause harm are administration errors related to infusion of high-risk medications. An intravenous medication safety system is designed to prevent high-risk infusion medication errors and to capture continuous quality improvement data for best practice improvement. Initial testing with 50 systems in 2 units at Vanderbilt University Medical Center revealed that, even in the presence of a fully mature computerized prescriber order-entry system, the new safety system averted 99 potential infusion errors in 8 months.
在护理现场提高用药安全性——尤其是针对高风险药物——是护理管理人员的主要关注点。最有可能造成伤害的用药错误是与高风险药物输注相关的给药错误。静脉用药安全系统旨在预防高风险输注用药错误，并收集持续质量改进数据以改善最佳实践。在范德比尔特大学医学中心的2个科室对50套系统进行的初步测试显示，即使存在完全成熟的计算机化医嘱录入系统，新的安全系统在8个月内仍避免了99起潜在的输注错误。
