Dickinson Chris J, Wagner Deborah S, Shaw Brenda E, Owens Tonie A, Pasko Deborah, Niedner Matthew F
Department of Pediatrics, University of Michigan Hospitals, MI, USA.
Crit Care Nurs Q. 2012 Jan-Mar;35(1):15-26. doi: 10.1097/CNQ.0b013e31823c25dd.
Safety and quality improvement are major issues in children's hospitals. Improving pediatric medication safety often takes on a larger role in pediatric units than in adult units due to the larger size differences and dose ranges found in a pediatric intensive care unit. This article reviews the literature and our own experience at the CS Mott Children's Hospital, University of Michigan, to improve medication safety. The issues identified include (1) an effective pediatric medication safety governance structure within a larger hospital, (2) practice standardization strategies for physicians, nurses, and pharmacists, (3) use of pharmacy technicians as unit medication managers, which reduces medication costs and decreases nursing time spent hunting for medications, and (4) methods to improve the safety culture in a pediatric intensive care unit.
安全与质量提升是儿童医院的重大问题。由于儿科重症监护病房中患儿体型差异大且剂量范围广，提升儿科用药安全在儿科病房中往往比在成人病房中发挥着更大的作用。本文回顾了相关文献以及我们在密歇根大学CS莫特儿童医院为提升用药安全所积累的经验。所发现的问题包括：（1）大型医院内有效的儿科用药安全管理架构；（2）针对医生、护士和药剂师的实践标准化策略；（3）将药房技术员用作病房药品管理员，这既能降低药品成本，又能减少护士寻找药品所花费的时间；（4）改善儿科重症监护病房安全文化的方法。
