Ozkan Suzan, Kocaman Gulseren, Ozturk Candan, Seren Seyda
School of Nursing, Dokuz Eylul University, Inciralti-Balcova/Izmir, Turkey.
J Nurs Care Qual. 2011 Apr-Jun;26(2):136-43. doi: 10.1097/NCQ.0b013e3182031006.
This study examined the frequency of pediatric medication administration errors and contributing factors. This research used the undisguised observation method and Critical Incident Technique. Errors and contributing factors were classified through the Organizational Accident Model. Errors were made in 36.5% of the 2344 doses that were observed. The most frequent errors were those associated with administration at the wrong time. According to the results of this study, errors arise from problems within the system.
本研究调查了儿科用药错误的发生率及其影响因素。本研究采用了无掩饰观察法和关键事件技术。通过组织事故模型对错误及其影响因素进行分类。在观察的2344剂药物中，有36.5%出现了错误。最常见的错误是给药时间错误。根据本研究结果，错误源于系统内部的问题。
