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中断药物准备过程及对导致中断因素的考察。

Interruption of the medication preparation process and an examination of factors causing interruptions.

机构信息

Denizli School Of Health Sciences, Nursing Department, Pamukkale University, Denizli, Turkey.

Ege University Faculty of Nursing, Fundamentals of Nursing, Bornova/İzmir, Turkey.

出版信息

J Nurs Manag. 2016 Apr;24(3):376-83. doi: 10.1111/jonm.12331. Epub 2015 Sep 6.

Abstract

AIM

This study was conducted in an attempt to examine the number and duration of interruptions during the medication preparation process and to identify the factors causing these interruptions.

BACKGROUND

Interruptions during the medication preparation process can cause medication errors owing to nurses' lack of attention.

METHOD

A descriptive study was conducted at the Internal Diseases and General Surgery services of a university hospital between 15 June 2012 and 30 July 2012. The data were collected using the 'Observation Form of Preparing Medication.'

RESULT

A total of 122 observations were made in the study. It was found that there was an interruption during the process of preparing medication in 95.9% of observations. The average number (±SD) of interruptions was 5.8 ± 4. The individuals causing the interruption during medication preparation were primarily nurses working in the same service. Receiving from or giving materials to the treatment room were the main reasons for the interruptions.

CONCLUSION

This study found a very high interruption rate during the process of preparing medications.

IMPLICATIONS FOR NURSING MANAGEMENT

As interruptions during medication preparation can cause medical errors, in-service teaching should be provided to raise awareness for this important issue. The findings of the study can be useful for enhancing the conditions of the physical environment, separating the treatment rooms and using the treatment rooms only for preparing medication.

摘要

目的

本研究旨在检查药物准备过程中的中断次数和持续时间,并确定导致这些中断的因素。

背景

由于护士注意力不集中,药物准备过程中的中断可能导致用药错误。

方法

2012 年 6 月 15 日至 7 月 30 日,在一所大学医院的内科和普通外科进行了一项描述性研究。使用“药物准备观察表”收集数据。

结果

本研究共观察 122 次。结果发现,95.9%的观察中存在药物准备过程中的中断。平均(±SD)中断次数为 5.8±4。导致药物准备中断的人主要是同一科室的护士。从治疗室接收或给料是中断的主要原因。

结论

本研究发现药物准备过程中的中断率非常高。

护理管理的意义

由于药物准备过程中的中断可能导致医疗差错,应提供在职培训以提高对这一重要问题的认识。研究结果有助于改善物理环境条件,将治疗室分开,并仅将治疗室用于准备药物。

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