Kalo Kimberly, Karius Diana, Bena James F, Morrison Shannon L, Albert Nancy M
Cleveland Clinic.
Clin J Oncol Nurs. 2019 Apr 1;23(2):197-202. doi: 10.1188/19.CJON.197-202.
Nurses represent the last line of defense in preventing the occurrence of chemotherapy errors; it is important to assess error rates and implement quality improvement initiatives to reduce nurse-initiated chemotherapy administration errors.
The purpose of this project was to assess the rates of chemotherapy administration errors before and after a two-nurse chemotherapy time-out process was implemented and the frequency of prevented errors in the postintervention and maintenance periods.
This retrospective quality report used pharmacy administration records and chemotherapy safety events to determine chemotherapy administration errors during three time periods.
The overall rate of chemotherapy administration errors was initially low (preintervention) and similar to published reports of error rates after interventions were applied to reduce error rates. The error rate remained low at the two postintervention assessment periods.
护士是预防化疗错误发生的最后一道防线；评估错误率并实施质量改进措施以减少护士引发的化疗给药错误非常重要。
本项目的目的是评估实施两名护士化疗给药前核对流程前后的化疗给药错误率，以及干预后和维持期预防错误的频率。
这份回顾性质量报告利用药房给药记录和化疗安全事件来确定三个时间段内的化疗给药错误情况。
化疗给药错误的总体发生率最初较低（干预前），与应用干预措施以降低错误率后公布的错误率报告相似。在干预后的两个评估期，错误率仍然较低。
