Giannetta N, Dionisi S, Cassar M, Trapani J, Renzi E, Di Simone E, Di Muzio M
Department of Biomedicine and Prevention, Tor Vergata University of Rome, Italy; Vita-Salute San Raffaele University, Milan.
Eur Rev Med Pharmacol Sci. 2020 May;24(9):5167-5175. doi: 10.26355/eurrev_202005_21212.
Medication errors are one of the most common causes of negative events affecting patient safety all over the world. Scientific literature divides the factors that contribute to the occurrence of harmful events into factors related to the characteristics of the healthcare workers and factors related to the organization of the drug management process. The aim of the study was to examine the knowledge, attitudes and behaviours related to medication errors among Italian and Maltese nurses.
Cross-sectional survey of nurses working in Intensive Care settings in Italian and Maltese hospitals was conducted. A valid and reliable questionnaire used in previous studies was adapted for online use. Despite improved reporting, The Strengthening the Reporting of Observational Studies in Epidemiology was used.
Findings showed good psychometric properties and reliability. MANOVA demonstrated significant differences in nurses' perception of the pharmacist presence during medication process and of the use of computerized provider order entry. MANOVA also demonstrated significant differences in the control of vital parameters and the application of the 8 right.
These findings support the contention that knowledge, attitude and behaviour of nurses is similar across different contexts in different countries wherein nurse training is harmonised and regulated through a transnational directive.
用药错误是影响全球患者安全的负面事件最常见的原因之一。科学文献将导致有害事件发生的因素分为与医护人员特征相关的因素和与药品管理流程组织相关的因素。本研究的目的是调查意大利和马耳他护士与用药错误相关的知识、态度和行为。
对意大利和马耳他医院重症监护病房的护士进行横断面调查。对先前研究中使用的有效且可靠的问卷进行了调整以用于在线调查。尽管报告有所改进，但仍采用了《加强流行病学观察性研究报告规范》。
研究结果显示出良好的心理测量特性和可靠性。多变量方差分析表明，护士在用药过程中对药剂师在场情况以及对使用计算机医嘱录入系统的认知存在显著差异。多变量方差分析还表明，在生命体征参数控制和“八个正确”的应用方面存在显著差异。
这些研究结果支持以下观点，即在不同国家的不同环境中，护士的知识、态度和行为是相似的，其中护士培训通过跨国指令进行协调和规范。
