静脉用药给药错误的发生率：一项横断面研究。
Prevalence of intravenous medication administration errors: a cross-sectional study.
作者信息
Fekadu Tezeta, Teweldemedhin Mebrahtu, Esrael Eyerusalem, Asgedom Solomon Weldegebreal
机构信息
School of Pharmacy, Department of Clinical Pharmacy, College of Health Sciences, Mekelle University, Mekelle.
Unit of Biomedical Science, School of Medicine, College of Health Sciences and Referral Hospital, Aksum University, Aksum, Ethiopia.
出版信息
Integr Pharm Res Pract. 2017 Jan 31;6:47-51. doi: 10.2147/IPRP.S125085. eCollection 2017.
BACKGROUND
Intravenous medication administration errors (MAEs) may be accompanied by avoidable undesirable effects, which might result in clinical complications.
OBJECTIVE
The aim of the study was to determine the prevalence of MAEs and to identify the factors associated with such errors.
METHODS
A hospital-based cross-sectional study was conducted from March to April 2015. Data were collected by direct observation using a pretested data collection tool. Simple random sampling was used, and bivariate logistic regression model was used to identify the factors associated with MAEs. value <0.05 was considered statistically significant.
RESULTS
A total of 134 patients were found to be eligible for the study. More than half of the study participants were males (76 [56.7%]). The rate of MAE was 46.1%, with the missed dose (n=162, 95.8%) being reported as the most common error. The age groups of 60-79 years (adjusted odds ratio = 2.166, confidence interval = 1.532-8.799) and 80-101 years (adjusted odds ratio = 1.52, confidence interval = 1.198-5.584) were the determinants of MAEs.
CONCLUSION
A high prevalence of MAEs was found. Enhancing the knowledge and practical skills of clinical nurses might minimize such errors.
背景
静脉用药给药错误（MAEs）可能伴有可避免的不良影响，这可能导致临床并发症。
目的
本研究的目的是确定给药错误的发生率，并识别与这些错误相关的因素。
方法
于2015年3月至4月进行了一项基于医院的横断面研究。使用经过预测试的数据收集工具通过直接观察收集数据。采用简单随机抽样，并使用二元逻辑回归模型来识别与给药错误相关的因素。P值<0.05被认为具有统计学意义。
结果
共发现134名患者符合研究条件。超过一半的研究参与者为男性（76名[56.7%]）。给药错误率为46.1%，漏服剂量（n = 162，95.8%）被报告为最常见的错误。60 - 79岁年龄组（调整优势比 = 2.166，置信区间 = 1.532 - 8.799）和80 - 101岁年龄组（调整优势比 = 1.52，置信区间 = 1.198 - 5.584）是给药错误的决定因素。
结论
发现给药错误的发生率很高。提高临床护士的知识和实践技能可能会减少此类错误。
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