Farzi Sedigheh, Irajpour Alireza, Saghaei Mahmoud, Ravaghi Hamid
Students' Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Critical Care Nursing, Nursing and Midwifery Care Research Centre, Isfahan University of Medical Sciences, Isfahan, Iran.
J Res Pharm Pract. 2017 Jul-Sep;6(3):158-165. doi: 10.4103/jrpp.JRPP_17_47.
This study was conducted to explore and to describe the causes of medication errors in Intensive Care Units (ICUs) from the perspective of physicians, nurses, and clinical pharmacists.
The study was conducted using a descriptive qualitative method in 2016. We included 16 ICUs of seven educational hospitals affiliated to Isfahan University of Medical Sciences. Participants included 19 members of the healthcare team (physician, nurse, and clinical pharmacist) with at least 1 year of work experience in the ICUs. Participants were selected using purposeful sampling method. Data were collected through semi-structured individual interviews and were used for qualitative content analysis.
The four main categories and ten subcategories were extracted from interviews. The four categories were as follows: "low attention of healthcare professionals to medication safety," "lack of professional communication and collaboration," "environmental determinants," and "management determinants."
Incorrect prescribing of physicians, unsafe drug administration of nurses, the lack of pharmaceutical knowledge of the healthcare team, and the weak professional collaboration lead to medication errors. To improve patient safety in the ICUs, healthcare center managers need to promote interprofessional collaboration and participation of clinical pharmacists in the ICUs. Furthermore, interprofessional programs to prevent and reduce medication errors should be developed and implemented.
本研究旨在从医生、护士和临床药师的角度探讨和描述重症监护病房（ICU）用药错误的原因。
本研究于2016年采用描述性定性方法进行。我们纳入了伊斯法罕医科大学附属的七所教学医院的16个ICU。参与者包括19名医疗团队成员（医生、护士和临床药师），他们在ICU至少有1年的工作经验。参与者采用目的抽样法选取。通过半结构化的个人访谈收集数据，并用于定性内容分析。
从访谈中提取了四个主要类别和十个子类别。这四个类别如下：“医疗专业人员对用药安全的关注度低”、“缺乏专业沟通与协作”、“环境因素”和“管理因素”。
医生开错处方、护士不安全给药、医疗团队缺乏药学知识以及专业协作薄弱导致用药错误。为提高ICU患者的安全性，医疗中心管理人员需要促进跨专业协作以及临床药师参与ICU工作。此外，应制定并实施预防和减少用药错误的跨专业项目。
