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美国医院中与危急情况相关的用药错误:直接损害和间接损害

Medication errors associated with code situations in U.S. hospitals: direct and collateral damage.

作者信息

Lipshutz Angela K M, Morloc Laura L, Shore Andrew D, Hicks Rodney W, Dy Sydney M, Pronovost Peter J, Winters Bradford D

机构信息

University of California, San Francisco, USA.

出版信息

Jt Comm J Qual Patient Saf. 2008 Jan;34(1):46-56, 1. doi: 10.1016/s1553-7250(08)34007-0.

DOI:10.1016/s1553-7250(08)34007-0
PMID:18277801
Abstract

A retrospective analysis of 842 medication errors related to code situations revealed that "collateral damage" errors accounted for 74% of all code-related errors, whereas 21% involved patients directly experiencing codes.

摘要

对842起与急救情况相关的用药错误进行的回顾性分析显示,“附带损害”错误占所有与急救相关错误的74%,而21%涉及患者直接经历急救情况。

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