Pitkänen Anneli, Teuho Susanna, Uusitalo Marjo, Kaunonen Marja
Author Affiliations: Tampere University Hospital, Pirkanmaa Hospital District, Finland (Drs Pitkänen and Kaunonen and Mss Teuho and Uusitalo); University of Tampere (Dr Kaunonen), Finland.
Comput Inform Nurs. 2016 Mar;34(3):122-7. doi: 10.1097/CIN.0000000000000208.
In recent years, patient safety has been a serious concern internationally. Medication in particular is a significant area in improving patient safety because medication errors are a crucial clinical problem. This study aimed to explore suggestions to improve medication safety reported via computerized patient safety systems in hospitals. The research data were retrospectively collected from the computerized patient safety incident reporting systems in one university hospital and two regional hospitals in Finland. Open-ended records concerning prescribing medicines (n = 136), dispensing medicines (n = 362), administering medicines to patients (n = 538), and documenting medication (n = 434) were included in the analysis. The data were analyzed by using inductive content analysis. Based on the study findings, there is a need to develop and standardize procedures related to all four parts of medication management process. Moreover, working environment, multiprofessional collaboration, and knowledge and skills of the professionals should be developed. Promoting medication safety in hospitals is an urgent challenge. The study results indicated that computerized patient safety incident reporting systems can provide important qualitative information to improve medication process to be safer.
近年来,患者安全在国际上一直是一个严重关切的问题。特别是药物治疗是提高患者安全的一个重要领域,因为用药错误是一个关键的临床问题。本研究旨在探讨通过医院的计算机化患者安全系统报告的提高用药安全的建议。研究数据是从芬兰一家大学医院和两家地区医院的计算机化患者安全事件报告系统中回顾性收集的。分析中纳入了关于开药(n = 136)、发药(n = 362)、给患者用药(n = 538)和记录用药情况(n = 434)的开放式记录。采用归纳性内容分析法对数据进行分析。根据研究结果,有必要制定和规范与药物管理过程所有四个环节相关的程序。此外,应改善工作环境、促进多专业协作并提高专业人员的知识和技能。促进医院的用药安全是一项紧迫的挑战。研究结果表明,计算机化患者安全事件报告系统可以提供重要的定性信息,以改善用药过程,使其更安全。