Author Affiliations: Clinical Associate Professor of Nursing (Dr Davis), Hartwick College, Department of Nursing, Oneonta, New York; and Associate Professor (Dr Coviello), Yale School of Nursing, Yale University, New Haven, Connecticut.
Nurse Educ. 2020 Sep/Oct;45(5):273-276. doi: 10.1097/NNE.0000000000000783.
Medication errors, now thought to be 4 times greater than previous estimates, harm patients, families, health care institutions, and nurses themselves, who are second victims of their mistakes.
Current nursing education may lack coherent medication safety frameworks other than the classic Five Rights construct.
This project piloted an educational intervention with senior associate degree nursing students based on high-reliability organization (HRO) safety principles.
Subjects evaluated the HRO safety concepts learning experience positively and improved pretest to posttest scores by 74%.
This study demonstrates subjects' ready acceptance and comprehension of HRO safety theory as applied to medication safety, an alternative to the Five Rights construct.
药物错误现在被认为比之前的估计高出四倍，不仅危害患者、家庭、医疗机构，还危害护士本身，他们是自己错误的第二受害者。
当前的护理教育可能缺乏除了经典的“五正确”之外的连贯的药物安全框架。
本项目基于高可靠性组织（HRO）安全原则，对高级准学士学位护理学生进行了教育干预试点。
研究对象对 HRO 安全概念学习体验给予了积极评价，并且前测到后测的分数提高了 74%。
这项研究表明，研究对象对 HRO 安全理论在药物安全方面的应用（替代“五正确”框架）很容易接受和理解。
