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跨专业用药安全项目教育对重症监护病房医生和护士用药错误的影响。

Effect of interprofessional education of medication safety program on the medication error of physicians and nurses in the intensive care units.

作者信息

Irajpour Alireza, Farzi Sedigheh, Saghaei Mahmoud, Ravaghi Hamid

机构信息

Department of Critical Care Nursing, Isfahan University of Medical Sciences, Isfahan, Iran.

Department of Adult Health Nursing, Nursing and Midwifery Care Research Centre, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

J Educ Health Promot. 2019 Oct 24;8:196. doi: 10.4103/jehp.jehp_200_19. eCollection 2019.

Abstract

BACKGROUND

The safety of hospitalized patients in the intensive care units (ICUs) is threatened due to incidents and adverse events, including medication errors. Medication error refers to any preventable event at different stage of medication process, such as prescription, transcription, distributing medication, and administration, which can lead to incorrect use of medicines or damage to the patient. This study aimed at investigating the effect of the interprofessional education of medication safety program on medication errors of physicians and nurses in the ICUs.

MATERIALS AND METHODS

The study was conducted using a quasi-experimental method (single group, before and after) in 2017. The setting of the study included one ICU of selected teaching hospital affiliated to Isfahan University of Medical Sciences located in the Central Iran with a total of 23 beds. Participants included 50 members of the health-care team (physician, nurse, and clinical pharmacist) with at least 1 year of work experience in the ICUs. Participants were selected using censuses sampling method. Data were collected using a two-section self-made questionnaire. Data were analyzed through descriptive, analytical statistics, and version 16 of the SPSS software ( < 0.05).

RESULTS

According to reporting of physicians, nurses, and clinical pharmacist, the medication error 1 month after implementation, the interprofessional education of medication safety program was significantly lower than before the implementation of it ( < 0.001).

CONCLUSIONS

Interprofessional education helps to improve interprofessional collaboration and patient care through the promotion of various professions of health to increase interprofessional collaboration compared to single profession education, which individuals learn in isolation and merely in their profession. Therefore, interprofessional education of medication safety program can reduce medication error and promote patient safety in the ICUs.

摘要

背景

重症监护病房(ICU)住院患者的安全因包括用药错误在内的事件和不良事件而受到威胁。用药错误是指在用药过程的不同阶段(如处方、转录、分发药物和给药)发生的任何可预防事件,这些事件可能导致药物使用不当或对患者造成损害。本研究旨在调查用药安全计划的跨专业教育对ICU医生和护士用药错误的影响。

材料与方法

本研究于2017年采用准实验方法(单组前后对照)进行。研究地点包括位于伊朗中部的伊斯法罕医科大学附属教学医院的一个ICU,共有23张床位。参与者包括50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。参与者采用普查抽样方法选取。数据通过自制的两部分问卷收集。数据采用描述性、分析性统计方法进行分析,并使用SPSS软件16版(<0.05)。

结果

根据医生、护士和临床药师的报告,用药安全计划跨专业教育实施1个月后的用药错误率显著低于实施前(<0.001)。

结论

跨专业教育有助于通过促进健康领域的各专业之间的合作来改善跨专业协作和患者护理,与单一专业教育相比,单一专业教育中个体孤立地学习且仅局限于其专业领域。因此,用药安全计划的跨专业教育可以减少ICU中的用药错误并提高患者安全。

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