Muroi Maki, Shen Jay J, Angosta Alona
Department of Health Care Administration and Policy, School of Community Health Sciences, University of Nevada Las Vegas, 4505 S. Maryland Parkway, Box 453023, Las Vegas, NV 89154-3023, United States.
School of Nursing, University of Nevada Las Vegas, United States.
Appl Nurs Res. 2017 Feb;33:180-185. doi: 10.1016/j.apnr.2016.12.002. Epub 2016 Dec 3.
Registered nurses (RNs) play an important role in safe medication administration and patient safety. This study examined a total of 1276 medication error (ME) incident reports made by RNs in hospital inpatient settings in the southwestern region of the United States. The most common drug class associated with MEs was cardiovascular drugs (24.7%). Among this class, anticoagulants had the most errors (11.3%). The antimicrobials was the second most common drug class associated with errors (19.1%) and vancomycin was the most common antimicrobial that caused errors in this category (6.1%). MEs occurred more frequently in the medical-surgical and intensive care units than any other hospital units. Ten percent of MEs reached the patients with harm and 11% reached the patients with increased monitoring. Understanding the contributing factors related to MEs, addressing and eliminating risk of errors across hospital units, and providing education and resources for nurses may help reduce MEs.
注册护士在安全用药管理和患者安全方面发挥着重要作用。本研究调查了美国西南部地区医院住院环境中注册护士提交的共计1276份用药错误（ME）事件报告。与用药错误相关的最常见药物类别是心血管药物（24.7%）。在这一类别中，抗凝剂的错误最多（11.3%）。抗菌药物是与错误相关的第二常见药物类别（19.1%），万古霉素是该类别中导致错误的最常见抗菌药物（6.1%）。用药错误在医疗外科和重症监护病房比其他任何医院科室更频繁发生。10%的用药错误对患者造成了伤害，11%的用药错误导致对患者的监测增加。了解与用药错误相关的促成因素、解决并消除各医院科室的错误风险，以及为护士提供教育和资源，可能有助于减少用药错误。
