Deans Cecil
University of Ballarat and Ballarat Health Services.
Collegian. 2005 Jan;12(1):29-33. doi: 10.1016/s1322-7696(08)60480-1.
This Australian study identified and described the incidence of medication errors among registered nurses, the type and causes of these errors and the impact that administration of medications has on the professional practice of registered nurses. Mostly, medication errors were attributed to documentation issues, including: illegible handwriting, misunderstanding abbreviations, misplaced decimal point, misreading and misinterpreting written orders. Several human factors were attributed to potential causes of medication errors, including: stress, fatigue, knowledge and skill deficits. Environmental factors, namely, interruptions and distractions during the administration of medications, were also attributed to potential errors. The study found professional nursing practice involving administration of medications had a strong education, patient and ethical focus. Over a quarter of the respondents indicated that further training in medication administration would positively impact on their nursing practice. The registered nurses also highlighted they would appreciate more time to spend with patients when administering medications. Medication errors are not the sole responsibility of any single professional group, therefore, collaboration with other health professionals is central to establishing processes, policies, strategies and systems that will reduce their occurrence. The organisation and those nurses employed within it share an accountability to ensure safe administration of medications to patients. Based on study results, several recommendations are directed towards preventing or reducing medication errors and supporting nurses in providing best practice.
这项澳大利亚的研究确定并描述了注册护士中用药错误的发生率、这些错误的类型和原因，以及用药对注册护士专业实践的影响。大多数用药错误归因于记录问题，包括：字迹潦草、对缩写的误解、小数点位置错误、误读和错误解读书面医嘱。一些人为因素被认为是用药错误的潜在原因，包括：压力、疲劳、知识和技能不足。环境因素，即在用药过程中的干扰和分心，也被认为是潜在的错误原因。该研究发现，涉及用药的专业护理实践具有很强的教育、患者和伦理重点。超过四分之一的受访者表示，用药管理方面的进一步培训将对他们的护理实践产生积极影响。注册护士还强调，他们希望在用药时有更多时间陪伴患者。用药错误并非任何单一专业群体的唯一责任，因此，与其他医疗专业人员合作对于建立能够减少用药错误发生的流程、政策、策略和系统至关重要。该机构及其雇佣的护士共同承担确保患者安全用药的责任。基于研究结果，提出了几项旨在预防或减少用药错误并支持护士提供最佳实践的建议。
