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药物管理——临床病房的护理工作量与患者安全

Medication administration - nursing workload and patient safety in clinical wards.

作者信息

Magalhães Ana Maria Müller de, Kreling Angélica, Chaves Enaura Helena Brandão, Pasin Simone Silveira, Castilho Bárbara Motta

机构信息

Universidade Federal do Rio Grande do Sul. Porto Alegre, Rio Grande do Sul, Brazil.

Hospital de Clínicas de Porto Alegre. Porto Alegre, Rio Grande do Sul, Brazil.

出版信息

Rev Bras Enferm. 2019 Jan-Feb;72(1):183-189. doi: 10.1590/0034-7167-2018-0618.

DOI:10.1590/0034-7167-2018-0618
PMID:30916285
Abstract

OBJECTIVE

to analyze the characteristics of the work organization performed by nursing staff regarding medication administration procedures and their implications on the workload of these professionals and on patient safety.

METHOD

the study design is exploratory, with mixed method research and an ecological restorative approach. Data were collected between January 2014 and March 2015, in three inpatient units of a teaching hospital in the south of Brazil, by means of photo walkabout and focus groups, in the qualitative step. In the quantitative phase data were collected from the 162 lists of patients assigned to nursing technicians during their work shifts.

RESULTS

the administration of medications has an impact on the professionals' workload and patient safety.

FINAL CONSIDERATIONS

there are weaknesses in the process that may contribute to medication administration errors, which are related to the number of doses and the number of patients assigned to each professional.

摘要

目的

分析护理人员在给药程序方面的工作组织特点及其对这些专业人员工作量和患者安全的影响。

方法

本研究设计为探索性研究,采用混合方法研究和生态恢复性方法。在定性阶段,于2014年1月至2015年3月期间,通过照片巡访和焦点小组,在巴西南部一家教学医院的三个住院科室收集数据。在定量阶段,从护理技术员轮班期间分配的162份患者名单中收集数据。

结果

给药对专业人员的工作量和患者安全有影响。

最终结论

该过程存在一些弱点,可能导致给药错误,这些弱点与剂量数量以及分配给每个专业人员的患者数量有关。

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