Kellett Pollyanna, Gottwald Mary
Buckinghamshire New University.
Nurs Manag (Harrow). 2015 Feb;21(9):16-22. doi: 10.7748/nm.21.9.16.e1310.
There is a need to reduce medication errors, and one way of achieving this for high-risk medications is by double-checking. This article reports the results of a literature review, undertaken as part of an MSc, which examined safe processes for double-checking. The article discusses three themes that emerged from the review: the evidence and processes of double-checking, supportive safety measures and human factors. The review concluded that two people double-checking the entire process enhances and strengthens practice, and that clinical settings and contexts are important to safety in medication administration. The aim of the article is to provide evidence for nurse managers to support their decision making on safe administration practice in clinical settings.
有必要减少用药错误，而对高风险药物而言，实现这一目标的一种方法是进行双人核对。本文报告了一项文献综述的结果，该综述是作为理学硕士课程的一部分进行的，研究了双人核对的安全流程。本文讨论了综述中出现的三个主题：双人核对的证据和流程、支持性安全措施以及人为因素。综述得出结论，两人对整个过程进行双人核对可增强和强化实践，并且临床环境和背景对用药管理的安全性很重要。本文的目的是为护士长提供证据，以支持他们在临床环境中就安全给药实践做出决策。
