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综述 - 用药错误及其预防策略。

Review - Medication errors and strategies for their prevention.

作者信息

Riaz Muhammad Kashif, Riaz Mohammad, Latif Abida

机构信息

University College of Pharmacy, University of the Punjab, Lahore, Pakistan.

出版信息

Pak J Pharm Sci. 2017 May;30(3):921-928.

PMID:28653940
Abstract

Medication errors occur every day causing injury to the patients and even deaths. The health care professionals are not fully aware of the damages done by medication errors in terms of patients' discomfort and economic burden. There is a need to provide information about medication errors to health care providers. This article reviews research done on the various aspects of medication errors. The research work done on prescribing errors, transcribing errors, dispensing errors, administration errors and discharged summaries errors have been examined. Eight strategies to reduce the occurrence of medication errors have been reviewed: (1) Electronic prescribing and computerized physician order entry (CPOE) with clinical decision support systems (CDSSs), (2) Bar Code, (3) Interventions to reduce medication errors, (4) Medication Error Reporting Systems (MERSs), (5) Alerts about medication errors, (6) Prevention of harm from high-alert drugs, (7) Smart Infusion Pumps and (8) Telemedicine or Telehealth or Telepharmacy. Statistical tests used in medication error studies have also been stated.

摘要

用药错误每天都在发生,会导致患者受伤甚至死亡。医护人员并未充分意识到用药错误在患者不适和经济负担方面所造成的损害。有必要向医护人员提供有关用药错误的信息。本文综述了关于用药错误各个方面的研究。对在处方错误、转录错误、调配错误、给药错误和出院小结错误方面所开展的研究工作进行了审视。已对八项减少用药错误发生的策略进行了综述:(1)带有临床决策支持系统(CDSS)的电子处方和计算机化医师医嘱录入(CPOE),(2)条形码,(3)减少用药错误的干预措施,(4)用药错误报告系统(MERS),(5)用药错误警报,(6)预防高警示药物造成的伤害,(7)智能输液泵,以及(8)远程医疗或远程健康或远程药学。还阐述了用药错误研究中使用的统计检验方法。

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