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药物管理:预防差错,促进患者安全。

Medication governance: preventing errors and promoting patient safety.

作者信息

Kavanagh Caroline

机构信息

Lecturer, Department of Nursing, Health Sciences and Social Care, Galway-Mayo Institute of Technology, Mayo Campus, Castlebar, County Mayo, Ireland.

出版信息

Br J Nurs. 2017 Feb 9;26(3):159-165. doi: 10.12968/bjon.2017.26.3.159.

Abstract

This article highlights the significance of medication errors, identifying potential issues and support systems required. Medication errors involve different health professionals and present at various stages of the medication cycle. Focusing on a collaborative approach and the role of the nurse is necessary. Special groups, particularly older adults, are considered where multiple conditions and multiple medications increase the risk of adverse drug reactions. Nurses' accountability and their knowledge of medications are taken into account along with the role of nurse educators. Reporting errors is crucial; the culture of the organisation significantly contributes to whether errors are reported. Learning arises from near misses and errors, enabling preventive measures to be put in place. There is a need for a culture of safety within organisations where medication governance promotes patient safety and the provision of high-quality care.

摘要

本文强调了用药错误的重要性,识别了潜在问题以及所需的支持系统。用药错误涉及不同的医疗专业人员,且出现在用药周期的各个阶段。关注协作方法以及护士的作用很有必要。文中考虑了特殊群体,尤其是老年人,他们由于多种病症和多种药物治疗增加了药物不良反应的风险。护士的责任及其药物知识连同护士教育者的作用都被纳入考量。报告错误至关重要;组织文化对错误是否被报告有重大影响。从险些发生的错误和实际错误中吸取教训,从而能够采取预防措施。各组织内部需要一种安全文化,在这种文化中,药物管理可促进患者安全并提供高质量护理。

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