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预防儿科和新生儿患者的用药错误。

Preventing Medicine mistakes in pediatric and neonatal patients.

作者信息

Izadpanah F, Haddad Kashani H, Sharif M R

机构信息

Food and Drug Laboratory Research Center, Food and Drug Organization, Ministry of Health and Medical Education, Tehran, Iran.

Anatomical Sciences Research Center, Kashan University of Medical Sciences, Kashan, Iran.

出版信息

J Med Life. 2015;8(Spec Iss 3):6-12.

PMID:28316659
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5348929/
Abstract

Medicine mistakes are significant issues that happen in clinic environments. Several portions make the pediatric community extra sensitive to medicine faults, and possible complexities are rising from medicine board. These involve the various dosage forms of the identical medication availability, inaccurate dosing, absence of regulated dosing regimen, and process development. Electric information like EMBASE, MEDLINE, Global Pharmaceutical Abstracts, ASSIA, PsycINFO, British Nursing Index, CINAHL, were sleeked among 1985 and December 2014. Study choice Inclusion and exclusion standard are used to specify the eligible publications though title investigation followed by abstract and then full text investigation. Medicine mistakes were most often reported in pediatric and neonatal patients. This was in consensus with literature information about the occurrences in other specialties. Fatal or life-threatening harm because of medicine mistakes was not often reported. However, most studies reported that the possible for the cases impairment as an outcome of a mistake is a significant problem. Investigation of types and level of medicine faults might results in steps towards the prevention of these faults and the improvement in the neonatal care quality and safety.

摘要

医疗失误是临床环境中存在的重大问题。几个因素使得儿科领域对用药错误格外敏感,而且药委会引发的潜在复杂性正在增加。这些因素包括同一药物有多种剂型、剂量不准确、缺乏规范的给药方案以及流程问题。在1985年至2014年12月期间检索了诸如EMBASE、MEDLINE、全球制药文摘、亚洲科学索引、心理学文摘、英国护理索引、护理学与健康领域数据库等电子信息资源。通过标题筛选,随后进行摘要筛选,最后进行全文筛选,使用研究选择纳入和排除标准来确定符合条件的出版物。用药错误在儿科和新生儿患者中报告最为频繁。这与其他专科关于此类事件的文献信息一致。因用药错误导致的致命或危及生命的伤害并不常被报告。然而,大多数研究报告称,因失误导致病例受损的可能性是一个重大问题。对用药错误的类型和程度进行调查可能会促使采取措施预防这些错误,并提高新生儿护理的质量和安全性。

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Int Arch Med. 2014 May 3;7:18. doi: 10.1186/1755-7682-7-18. eCollection 2014.
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Frequency of prescribing errors by medical residents in various training programs.不同培训项目中医学生的处方错误发生率。
J Patient Saf. 2015 Jun;11(2):100-4. doi: 10.1097/PTS.0000000000000048.
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A systematic approach of tracking and reporting medication errors at a tertiary care university hospital, Karachi, Pakistan.巴基斯坦卡拉奇一家三级护理大学医院对用药差错进行跟踪和报告的系统方法。
Ther Clin Risk Manag. 2008 Aug;4(4):673-9. doi: 10.2147/tcrm.s2646.
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Medication errors in pediatric inpatients: prevalence and results of a prevention program.儿科住院患者的用药错误:发生率及预防项目的结果
Pediatrics. 2008 Sep;122(3):e737-43. doi: 10.1542/peds.2008-0014.
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Pediatric medication safety in the emergency department.急诊科的儿科用药安全
J Emerg Nurs. 2008 Aug;34(4):375-7. doi: 10.1016/j.jen.2008.04.014.
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Reevaluating the safety profile of pediatrics: a comparison of computerized adverse drug event surveillance and voluntary reporting in the pediatric environment.重新评估儿科用药安全性:儿科环境中计算机化药物不良事件监测与自愿报告的比较。
Pediatrics. 2008 May;121(5):e1201-7. doi: 10.1542/peds.2007-2609.
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