患者腕带条形码对预防医疗差错的效果：一项荟萃分析研究
The Efficacy of Patients' Wristband Bar-code on Prevention of Medical Errors: A Meta-analysis Study.
作者信息
Khammarnia M, Kassani A, Eslahi M
机构信息
Health Promotion Research Center, Zahedan University of Medical Sciences , Zahedan, Iran.
Prevention of Psychosocial Injuries Research Center, Ilam University of Medical Sciences , Ilam, Iran.
出版信息
Appl Clin Inform. 2015 Dec 9;6(4):716-27. doi: 10.4338/ACI-2015-06-R-0077. eCollection 2015.
BACKGROUND
Patient misidentification, as a major patient safety issue, occurs in any healthcare setting and leads to inappropriate medical procedures, diagnosis or treatment, with serious outcomes.
OBJECTIVES
The study aimed to investigate the effectiveness of wristband bar-code medication scanning to reduce medical errors (ME).
METHODS
A meta-analysis study was conducted. The relevant studies were searched in PubMed, Embase, Cochrane Library, Web of Science and Scopus from 1990 to March 2015. Thereafter, the studies retrieved were screened based on predefined inclusion and exclusion criteria. Data were extracted, and the quality of the included studies was evaluated using the STROBE checklist.
RESULTS
In total, 14 articles involving 483 cases were included. The meta-analysis indicated that the use of wristband bar-code medication scanning can reduce the ME around 57.5% (OR=0.425, 95% CI: 0.28-0.65, P<0.001). The study results showed a marked heterogeneity in the subgroup analysis (I-squared=98%). This was I(2)=70.35, P-value=0.018 for the type of samples and I(2)=99%, P-value<0.001 for years and countries.
CONCLUSION
Wristband bar-code medication scanning can decrease the ME in hospital setting. Since the patient's safety is the main goal of the World Health Organization, it is recommended that a unique patient identification barcode should be used with name, medical record number, and bar-coded financial number.
背景
患者身份识别错误作为一个主要的患者安全问题，在任何医疗环境中都会发生，并导致不适当的医疗程序、诊断或治疗，产生严重后果。
目的
本研究旨在调查腕带条形码药物扫描在减少医疗差错方面的有效性。
方法
进行一项荟萃分析研究。于1990年至2015年3月在PubMed、Embase、Cochrane图书馆、科学网和Scopus中检索相关研究。此后，根据预先定义的纳入和排除标准对检索到的研究进行筛选。提取数据，并使用STROBE清单评估纳入研究的质量。
结果
共纳入14篇涉及483例病例的文章。荟萃分析表明，使用腕带条形码药物扫描可将医疗差错减少约57.5%（OR=0.425，95%CI：0.28 - 0.65，P<0.001）。研究结果在亚组分析中显示出明显的异质性（I²=98%）。样本类型的I²=70.35，P值=0.018；年份和国家的I²=99%，P值<0.001。
结论
腕带条形码药物扫描可降低医院环境中的医疗差错。鉴于患者安全是世界卫生组织的主要目标，建议使用包含姓名、病历号和条形码财务号的唯一患者识别条形码。
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