Fry Margaret Mary, Dacey Caroline
Hammersmith Hospitals NHS Trust, Hammersmith Hospital, London.
Br J Nurs. 2007;16(11):676-81. doi: 10.12968/bjon.2007.16.11.23690.
The lack of empirical research on nurses' views of the factors contributing to medication errors, and particularly of studies conducted in the UK, formed the starting point for this study. Part 2 of this two-part article aims to inform the wider nursing population about the views of nurses working in the medicine directorate of a large London teaching hospital, and to explore the reporting of medication incidents and the effect of this on the practice of the nurses involved. Quantitative results of a self-administered questionnaire indicated that this group of nurses felt that the most important factors contributing to medication incidents were interruptions by patients and relatives/visitors and telephone calls during the process of administration. Suggested ways of reducing errors were 'protected' medicine rounds, unique or distinct packaging of medications and regular revision sessions on mathematical calculations. These nurses' views confirmed that factors identified in the literature as contributing to medication incidents were problematic for them too. Simple changes to practice could help to reduce the number of such incidents.
缺乏关于护士对导致用药错误因素看法的实证研究，尤其是在英国开展的研究，构成了本研究的起点。这篇分为两部分的文章的第二部分旨在让更广泛的护理群体了解在伦敦一家大型教学医院内科工作的护士的看法，并探讨用药事件的报告情况以及这对相关护士实践的影响。一份自填式问卷的定量结果表明，这群护士认为导致用药事件的最重要因素是给药过程中患者及亲属/访客的干扰和电话。建议的减少错误的方法包括“受保护”的查房、药物独特或有区别的包装以及定期的数学计算复习课程。这些护士的观点证实，文献中确定的导致用药事件的因素对她们来说也是问题所在。实践中的简单改变有助于减少此类事件的发生。
